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Infectious Diseases in Obstetrics and Gynecology
Volume 12, Issue 1, Pages 9-12
http://dx.doi.org/10.1080/1064744042000210393

Hepatitis C Virus (HCV): Prevalence in a Gynecological Urgent Care Clinic Population

1Department of Gynecology and Obstetrics, , Emory University School of Medicine, USA
2Department of Obstetrics and Gynecology, University of Vermont College of Medicine, 89 Beaumont Avenue, Burlington, Vermont 05405, USA

Received 15 April 2003; Accepted 20 October 2003

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective: To determine the prevalence of hepatitis C virus (HCV) among women seeking urgent gynecological care.

Methods: Women were asked to complete a short self-assessment screening of HCV risk. Those answering yes to any of the screening questions were offered HCV testing and were asked to complete a more detailed questionnaire.

Results: Among the 125 women who completed the screening questionnaire, 80% (100) answered yes to one or more of the screening questions. Of the 99 women who underwent testing, six (6.1%) were HCV seropositive; a history of injection drug use was the only finding associated with HCV seropositivity (R.R 9.7: 95% CI 1.90–49.40).

Conclusions: Women seeking urgent outpatient gynecological care, particularly those who are injection drug users, are at a substantial risk of HCV infection. A careful risk assessment should be completed in order to identify women who should be offered HCV testing.