Emergency department-based HIV testing in New Jersey: Data to action

2007 ◽  
Author(s):  
Charlotte Sadashige ◽  
Barbara Bolden ◽  
Helene Cross
Keyword(s):  
Emergency Department ◽  
New Jersey ◽  
Hiv Testing

scholarly journals 1120. Impact of Training Residents to Improve HIV Screening in a Teaching Hospital in Mexico City

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S590-S590
Author(s):  
Lorena Guerrero-Torres ◽  
Isaac Núñez-Saavedra ◽  
Yanink Caro-Vega ◽  
Brenda Crabtree-Ramírez
Keyword(s):  
Emergency Department ◽  
Time Series ◽  
Hiv Testing ◽  
Teaching Hospital ◽  
Educational Intervention ◽  
Temporal Trends ◽  
Hiv Screening ◽  
Hiv Diagnosis ◽  
Post Intervention ◽  
Hiv Test

Abstract Background Among 230,000 people living with HIV in Mexico, 24% are unaware of their diagnosis, and half of newly diagnosed individuals are diagnosed with advanced disease. Early diagnosis is the goal to mitigate HIV epidemic. Missed opportunities may reflect a lack of clinicians’ consideration of HIV screening as part of routine medical care. We assessed whether an educational intervention on residents was effective to 1) improve the knowledge on HIV screening; 2) increase the rate of HIV tests requested in the hospitalization floor (HF) and the emergency department (ED); and 3) increase HIV diagnosis in HF and ED. Methods Internal Medicine and Surgery residents at a teaching hospital were invited to participate. The intervention occurred in August 2018 and consisted in 2 sessions on HIV screening with an expert. A questionnaire was applied before (BQ) and after (AQ) the intervention, which included HIV screening indications and clinical cases. The Institutional Review Board approved this study. Written informed consent was obtained from all participants. BQ and AQ scores were compared with a paired t-test. To evaluate the effect on HIV test rate in the HF and ED, an interrupted time series analysis was performed. Daily rates of tests were obtained from September 2016 to August 2019 and plotted along time. Restricted cubic splines (RCS) were used to model temporal trends. HIV diagnosis in HF and ED pre- and post-intervention were compared with a Fisher’s exact test. A p< 0.05 was considered significant. Results Among 104 residents, 57 participated and completed both questionnaires. BQ score was 79/100 (SD±12) and AQ was 85/100 (SD±8), p< .004. Time series of HIV testing had apparent temporal trends (Fig 1). HIV test rate in the HF increased (7.3 vs 11.1 per 100 episodes) and decreased in the ED (2.6 vs 2.3 per 100 episodes). HIV diagnosis increased in the HF, from 0/1079 (0%) pre-intervention to 5/894 (0.6%) post-intervention (p< .018) (Table 1). Fig 1. HIV test rates. Gray area represents post-intervention period. Table 1. Description of episodes, HIV tests and rates pre- and post-intervention in the Emergency Department and Hospitalization Floor. Conclusion A feasible educational intervention improved residents’ knowledge on HIV screening, achieved maintenance of a constant rate of HIV testing in the HF and increased the number of HIV diagnosis in the HF. However, these results were not observed in the ED, where administrative barriers and work overload could hinder HIV screening. Disclosures All Authors: No reported disclosures

scholarly journals Feasibility and Success of Hiv Point-of-Care Testing in an Emergency Department in an Urban Canadian Setting

2013 ◽  
Vol 24 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Marissa L Becker ◽  
Laura H Thompson ◽  
Carla Pindera ◽  
Natalie Bridger ◽  
Carmen Lopez ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Point Of Care ◽  
Venous Blood ◽  
Tertiary Care ◽  
Antibody Test ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Post Test ◽  
Centre Hospital

BACKGROUND: Approximately 26% of Canadians living with HIV are unaware of their status. Point-of-care (POC) HIV tests have been introduced to simplify and expand HIV testing.OBJECTIVE: To evaluate the feasibility and acceptability of POC testing in an emergency department (ED) setting in Winnipeg, Manitoba.METHODS: A cross-sectional study of unselected adults presenting to the ED at the Health Sciences Centre Hospital (Winnipeg, Manitoba) was performed. Study procedures included pre- and post-test counselling, administration of the INSTI HIV-1/HIV-2 Antibody Test (bioLytical Laboratories, Canada) and a brief questionnaire. Venous blood samples were collected from participants for confirmatory testing on all reactive and indeterminate specimens.RESULTS: In total, 501 adults participated in the study. The majority of participants were younger than 40 years of age, approximately one-half (48.5%) were women and 53% self-identified as Aboriginal. Nearly one-half (49.1%) of the participants had undergone previous HIV testing, although 63% of these tests were performed more than a year earlier. A total of seven individuals tested reactive with the POC test, all of whom were confirmed positive using serological testing (1.4%) and were linked to an HIV specialist within 24 h. Nearly all of the participants (96%) reported satisfaction with the test and believed it belonged in the ED (93%).CONCLUSIONS: Of the participants tested, 1.4% tested reactive for HIV, which is significantly higher than the reported prevalence in Manitoba and in other similar studies conducted in North America. Furthermore, all individuals were linked to timely care. The present study demonstrated that this particular busy tertiary care ED is an important and feasible location for HIV POC testing.

195 Increasing Non-Targeted HIV Testing in the Emergency Department: Which Method Is Most Effective?

2015 ◽  
Vol 66 (4) ◽  
pp. S70-S71
Author(s):  
S. Arora ◽  
K. Jacobson ◽  
I. Schulman ◽  
C.N. Lam ◽  
M. Menchine
Keyword(s):  
Emergency Department ◽  
Hiv Testing

2: Twenty Years Experience With HIV Testing among Emergency Department Patients at the Johns Hopkins Hospital

2008 ◽  
Vol 52 (4) ◽  
pp. S41-S42
Author(s):  
C.K. Kraus ◽  
J.B. Shahan ◽  
R.E. Rothman ◽  
Y. Hsieh ◽  
O. Laeyendecker ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Johns Hopkins Hospital ◽  
Emergency Department Patients

Routine HIV Screening in Cancer Patients in the Emergency Department

2018 ◽  
Vol 17 (2) ◽  
pp. 91-95
Author(s):  
Terry W Rice ◽  
◽  
Patricia A. Brock ◽  
Carmen Gonzalez ◽  
Kelly W Merriman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Cancer Patients ◽  
Linkage To Care ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Hiv Screening ◽  
Immunodeficiency Virus ◽  
Routine Hiv Screening ◽  
Incident Cases

Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the general population (15-40%), despite the association with cancer. Our aim was to increase HIV screening in the Emergency Department(ED) of a comprehensive cancer center through a quality initiative. Testing increased significantly during the intervention (p<0.001; 0.15/day to 2.69/day). Seropositive HIV rate was 1.4% (12/852), with incidence of 0.3%. All patients were linked to care. Incident cases were between 36 and 55 years of age. Barriers encountered included confusion regarding the need for written consent for HIV testing, failure to consider ordering the test, and concerns regarding linkage to care.

Non-targeted HIV testing in the emergency department: not just how but where

2018 ◽  
Vol 16 (12) ◽  
pp. 893-905 ◽  
Author(s):  
Rainer Tan ◽  
Olivier Hugli ◽  
Matthias Cavassini ◽  
Katharine Darling
Keyword(s):  
Emergency Department ◽  
Hiv Testing

scholarly journals Demographic Variations in HIV Testing History among Emergency Department Patients: Implications for Hiv Screening in US Emergency Departments

2009 ◽  
Vol 16 (2) ◽  
pp. 60-66 ◽  
Author(s):  
Roland C Merchant ◽  
Bethany M Catanzaro ◽  
George R Seage ◽  
Kenneth H Mayer ◽  
Melissa A Clark ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Emergency Departments ◽  
Hiv Screening ◽  
Emergency Department Patients

scholarly journals Student Column toward Elimination of Perinatal HIV Transmission: New Jersey Hospital Barriers to Rapid HIV Testing in Labor and Delivery, 2005

2011 ◽  
Vol 126 (1) ◽  
pp. 145-152 ◽  
Author(s):  
Carly E. Kelley ◽  
Sindy M. Paul ◽  
Firoozeh M. Vali ◽  
Jane M. Caruso ◽  
Rose M. Martin ◽  
...  
Keyword(s):  
New Jersey ◽  
Hiv Testing ◽  
Hiv Transmission ◽  
Labor And Delivery ◽  
Rapid Hiv Testing ◽  
Perinatal Hiv

scholarly journals Project ART-ED: alcohol reduction and HIV testing in the emergency department

2012 ◽  
Vol 7 (S1) ◽  
Author(s):  
E Jennifer Edelman ◽  
An Dinh ◽  
Lucian Radu-Radulescu ◽  
Bonnie Lurie ◽  
Jeanette Tetrault ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hiv Testing ◽  
Alcohol Reduction
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