There is a high incidence of viral hepatitis. High-risk infection becomes an important medical and social importance. The issue of quality improvement and screening viral hepatitis B and C preoperatively in patients with acute cholecystitis is an urgent problem for surgical hospitals.
Examination of patients hospitalized with acute cholecystitis revealed the presence of the risks of viruses hepatitis B and C in 347 (18.9%) patients of the total number of patients. Due to a questionnaire, a history and perform research based immunoassay method (express tests) blood could reveal chronic hepatitis B and C in 149 (8.1%) patients. In all cases, viruses B and C confirmed by a study using PCR. In the preoperative hepatitis viruses detected in 91 (61%) cases, of which 64 (42.9%) due to conducting research based immunoassay (express tests) and questionnaires. In the early postoperative period — in 58 (38.9%) patients. Detection of hepatitis B and C in the postoperative period is associated with intraoperative picture.
Based on these data research group is patients 45 years of age require more careful attention, as conducted examination revealed the largest number of patients with risk factors in this age group and the largest number of indicators of risk factors. Conducting surveys with the identification of risk factors and further research based immunoassay allowed to preoperatively identify patients with viral hepatitis and timely conduct adequate preoperative preparation, prevention of intraoperative and postoperative complications and reduce the risks of surgery.