A systematic review of emergency department based HIV testing and linkage to care initiatives in low resource settings

PloS One
Bhakti HansotiRichard E Rothman

Abstract

Only 45% of people currently living with HIV infection in sub-Saharan Africa are aware of their HIV status. Unmet testing needs may be addressed by utilizing the Emergency Department (ED) as an innovative testing venue in low and middle-income countries (LMICs). The purpose of this review is to examine the burden of HIV infection described in EDs in LMICs, with a focus on summarizing the implementation of various ED-based HIV testing strategies. We performed a systematic review of Pubmed, Embase, Scopus, Web of Science and the Cochrane Library on June 12, 2016. A three-concept search was employed with emergency medicine (e.g., Emergency department, emergency medical services), HIV/AIDS (e.g., human immunodeficiency virus, acquired immunodeficiency syndrome), and LMIC terms (e.g., developing country, under developed countries, specific country names). The search returned 2026 unique articles. Of these, thirteen met inclusion criteria and were included in the final review. There was a large variation in the reported prevalence of HIV infection in the ED population ranging from to 2.14% in India to 43.3% in Uganda. The proportion HIV positive patients with previously undiagnosed infection ranged from 90% to 65.22%. In the United S...Continue Reading

References

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Citations

Jan 29, 2019·Health Policy and Planning·Lucas C CarlsonEmilie J Calvello Hynes
Oct 30, 2019·Open Forum Infectious Diseases·Lottie HaachambwaMichael J Vinikoor
Nov 23, 2019·The Laryngoscope·Glenn IsaacsonDeborah Summer
Aug 25, 2020·Southern African Journal of HIV Medicine·Aditi RaoBhakti Hansoti
Jan 6, 2021·AIDS Patient Care and STDs·Jessica P RidgwayLisa R Hirschhorn
Feb 2, 2021·Journal of the American College of Emergency Physicians Open·Sathishkumar PandiselvamKevin Davey
Oct 4, 2020·Sexually Transmitted Diseases·Jillian PintyeJenny Ledikwe

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Methods Mentioned

BETA
ELISA
PCR
blood draws
blood draw

Software Mentioned

Scopus
Embase

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