Activity 5B. Determing AUDIT-C Score

Learning Objective Performance Indicators

  • Perform follow-up monitoring of persons after treatment for chronic HCV
  • Obtain an HCV RNA assay as appropriate to screen for HCV reinfection after a person clears HCV
  • Administer priority immunizations for people with chronic HCV
  • Engage a person with chronic or cleared HCV in a discussion about measures that promote liver health
  • Institute routine screening for hepatocellular carcinoma and varices for persons with cirrhosis

Instructions

A 63-year-old man presents to your clinic 1 year after successful treatment and cure of chronic HCV infection. He has a long history of heavy alcohol use since his teenage years, but quit drinking alcohol for about-6 months after HCV treatment. He has starting drinking alcohol again and now drinks about 4 beers (typically 12 ounce-beers) about 5 days per week. He occasionally drinks a 6-pack of beer or more on weekends and this occurs about once or twice a month. He does not use other substances.

Alcohol Use Disorders Identification Test (AUDIT-C)

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PointsQuestions

How often do you have a drink containing alcohol?


How many drinks containing alcohol do you have on a typical day when you are drinking?


How often do you have six or more drinks on one occasion?


AUDIT-C score

0 points

Interpretation:

  • Men, a score of 4 or more is considered positive, optimal for identifying hazardous drinking or active alcohol use disorders.
  • Women, a score of 3 or more is considered positive, optimal for identifying hazardous drinking or active alcohol use disorders.
  • NOTE: If all points are from Question 1, assume the patient is drinking below recommended limits and the medical provider should review the patient’s alcohol intake during the past few months.

Sources

National Institute on Alcohol Abuse and Alcoholism.

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Activity Question

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What is the AUDIT-C score and is this score consistent with hazardous alcohol use for a man?

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