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Assessing elderly incontinent patients

alcoholics with cirrhosis histologically unrelated to their alcoholism show a very high percentage (9/15, 60%), significantly higher than that of patients with cirrhosis and alcoholic histological findings (12/45, 27%) (p=0 05). This last percentage is higher than that found among alcoholics with no liver disease (4/40, 10%) but the difference is not statistically significant. Among the healthy population 5% are positives. These results show a high prevalence of hepatitis B virus active infection in alcoholics with cirrhosis without histological signs typical of alcohol-induced liver disease. Although the percentage is also high in the subgroup of alcoholic cirrhosis, it is not significantly different from that in alcoholics with normal livers but the difference from the percentage in healthy controls does reach significance (p= 0-001). Two conclusions can be drawn: (1) In some alcoholics liver disease may be due to hepatitis B virus. (2) In alcohol-induced liver disease it is possible that hepatitis B virus may play a part.