SCREENING OF PATIENTS WITH ACUTE CALCULOUS CHOLECYSTITIS IN ORDER TO DETECT THE LATENT FORMS OF CHRONIC VIRAL HEPATITIS B AND C

The authors present their own experience of the combination of the survey and the immunochromatographic analysis(IChA) for screening patients with acute calculous cholecystitis (ACCh) in order to detect the latent forms of chronic viralhepatitis B (VHB) and C (VHC) in the emergency surgery unit in the preoperative period. The risk factors for ACCh infection in the period from 2015 to 2017 were found in 557 (67.7%) patients, of which 14 (2.5%) had been previously diagnosed with ACCh. 265 (32.3%) patients had no risk factors for possible infection, while 3 (1.1%) patients in the past were confirmed the presence of ACCh. The introduction of rapid tests for the determination of antigens and antibodies allowed detecting ACCh in the preoperative stage in 32 (5.7%) patients with risk factors of infection and 10 (3.8%) patients from the group with no risk factors.