TY  - JOUR
T1  - RETROSPECTİVE ANALYSİS OF HEPATİTİS A, B, AND C SEROPREVALENCE AMONG PATİENTS PRESENTİNG TO THE EMERGENCY DEPARTMENT
TT  - ACİL SERVİSE MÜRACAAT EDEN HASTALARIN HEPATİT A, B VE C SEROPREVALANSININ RETROSPEKTİF ANALİZİ
AU  - Kıyak, Ramazan
AU  - Kula Atik, Tuğba
AU  - Şener, Asli Gamze
PY  - 2026
DA  - March
Y2  - 2025
DO  - 10.16919/bozoktip.1764521
JF  - Bozok Tıp Dergisi
PB  - Yozgat Bozok Üniversitesi
WT  - DergiPark
SN  - 2146-4006
SP  - 13
EP  - 23
VL  - 16
IS  - 1
LA  - en
AB  - Introduction: Viral hepatitis is a significant infection that causes high morbidity and mortality worldwide. The World Health Organization (WHO) aims to eliminate hepatitis B (HBV) and hepatitis C (HCV) by 2030. Turkey has moderate endemicity for HBV and low prevalence for HCV. Emergency departments play a strategic role in identifying both acute hepatitis cases and undiagnosed carriers.Method: Between January 2020 and December 2024, 4,687 patients who underwent at least one serological test for hepatitis A, B, or C at the Emergency Department of Balıkesir University Faculty of Medicine Hospital were retrospectively reviewed. The inclusion criterion was that hepatitis serology was requested at the time of presentation. Incomplete or duplicate records were excluded. Demographic data, reasons for presentation, and laboratory results were obtained from hospital records. Tests were performed using the ELISA method. Statistical analysis was performed using SPSS 26.0, with p  < 0.05 considered statistically significant.Results: A total of 19,100 test results were evaluated. Anti-HAV IgG (59.9%) and Anti-HBs (43.9%) had the highest positivity rates. Active infection markers (Anti-HAV IgM, Anti-HBc IgM, Anti-HCV, HBsAg) were detected in less than 1% of cases. The most common reasons for presentation were bleeding (48.4%), pregnancy-related complaints (23.9%), and falls (13.8%). Seasonally, the highest number of presentations occurred in the fall. 52.1% of patients were discharged, while 47.9% were admitted to Obstetrics, Orthopedics, General Surgery, and Gastroenterology clinics.Conclusion: The high level of immunity against HAV and HBV in Turkey reflects the success of vaccination programs. While the low rates of active infection present a positive picture, the small number of carriers detected highlights the importance of emergency department-based screening. Continuing widespread screening strategies in emergency departments may play a critical role in achieving viral hepatitis elimination goals.
KW  - viral hepatitis
KW  - seroprevalence
KW  - emergency department
KW  - hepatitis screening
N2  - Giriş: Viral hepatitler, dünya genelinde yüksek morbidite ve mortaliteye yol açan önemli enfeksiyonlardır. Dünya Sağlık Örgütü (DSÖ), 2030 yılına kadar hepatit B (HBV) ve hepatit C’yi (HCV) elimine etmeyi hedeflemektedir. Türkiye, HBV açısından orta düzey endemisiteye, HCV açısından ise düşük prevalansa sahiptir. Acil servisler hem akut hepatit vakalarının hem de tanı almamış taşıyıcıların saptanmasında stratejik öneme sahiptir.Yöntem: Ocak 2020–Aralık 2024 arasında Balıkesir Üniversitesi Tıp Fakültesi Hastanesi Acil Servisi’nde hepatit A, B veya C’ye yönelik en az bir serolojik test yapılan 4.687 hasta retrospektif olarak incelendi. Dahil edilme kriteri, başvuru sırasında hepatit serolojisi istenmiş olmasıydı. Eksik verili veya mükerrer kayıtlar dışlandı. Demografik veriler, başvuru nedenleri ve laboratuvar sonuçları hastane kayıtlarından elde edildi. Testler ELISA yöntemiyle çalışıldı. İstatistiksel analiz SPSS 26.0 ile yapıldı, p
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UR  - https://doi.org/10.16919/bozoktip.1764521
L1  - https://dergipark.org.tr/tr/download/article-file/5151875
ER  -