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. 2010 Mar;53(3):420-2.
doi: 10.1097/QAI.0b013e3181b7220f.

Results from a New York City emergency department rapid HIV testing program

Katerina A Christopoulos, Bruce R Schackman, Gunjeong Lee, Robert A Green, Ellen A B Morrison

Results from a New York City emergency department rapid HIV testing program

Katerina A Christopoulos et al. J Acquir Immune Defic Syndr. 2010 Mar.

Abstract

Background: The US Centers for Disease Control and Prevention recommends expanded HIV screening in emergency departments (EDs). The additional value of ED screening programs remains controversial.

Methods: Patients were rapid-tested for HIV via fingerstick Oraquick in a counselor-based testing program at 2 university-hospital affiliated EDs in New York City in 2006-2007. Data were from a testing program database, supplemented by electronic medical record (EMR) review.

Results: Of 2,569 ED patients who underwent rapid HIV testing, 31 were preliminary positive; all diagnoses were confirmed by Western blot (1.2%, 95%CI 0.8%, 1.7%). Seven patients had previous HIV diagnoses and 24 (0.7%, 95% CI 0.6%, 1.4%) were considered new diagnoses. Of the new diagnoses, ten had hospital visits in the year before diagnosis, 7 of whom had visited only the ED. Linkage to care, defined as a visit with an HIV provider, was documented for 17.

Conclusions: ED rapid HIV testing programs can contribute substantially to HIV screening efforts and may identify persons with previously undiagnosed HIV infection who are not tested in other hospital settings. Linkage to care may be difficult, despite extensive testing program outreach.

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References

    1. Centers for Disease Control and Prevention. HIV/AIDS surveillance report, 2006. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2008. p. 29. Available at: http://www.cdc.gov/hiv/topics/surveillance/resources/reports.
    1. New York State Department of Public Health, Bureau of HIV Epidemiology. New York state HIV/AIDS surveillance annual report for cases diagnosed through December 2006. 2008:23. Available at: http://www.nyhealth.gov/diseases/aids/statistics/annual/2006/2006-12_ann....
    1. Branson BM, Handsfield HH, Lampe MA, et al. Centers for Disease Control and Prevention (CDC) Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep. 2006;55(RR-14):1–17. - PubMed
    1. Summary of New York City Department of Health and Mental Hygiene HIV Legislative Proposal A11958. Available at: http://www.ci.nyc.ny.us/html/doh/downloads/pdf/ah/ah-bill-A11958-summary....
    1. Lyons MS, Lindsell CJ, Haukoos JS, et al. Nomenclature and definitions for emergency department human immunodeficiency (HIV) testing: report from the 2007 conference of the national emergency department HIV testing consortium. Acad Emerg Med. 2008;15:1–10. - PMC - PubMed

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