Impact of a structured HIV testing program in a hospital emergency department and a primary care center

PloS One
Cristina Gomez-AyerbeMaría Jesús Pérez Elías

Abstract

HIV testing guidelines are poorly implemented in most clinical settings. The best screening strategy and healthcare scenario are still unknown. The aim of our study is to evaluate the impact of a structured HIV testing intervention (DRIVE), compared to HIV testing as routinely performed in clinical practice, in two different clinical settings: a primary care center and an emergency department. Prospective evaluation of an HIV testing strategy in two clinical settings from the same healthcare area. The DRIVE program included trained nurse practitioners to perform the screening, a questionnaire to assess the risk of exposure and HIV indicator conditions (RE&IC), and rapid HIV tests. The main variables between the DRIVE program and clinical practice were the absolute number of newly diagnosed HIV infections and testing coverage. The DRIVE program included 5,329 participants, of which 51.2% reported at least one positive answer in the questionnaire. The estimated HIV testing coverage was significantly higher in the DRIVE program than in the routine clinical practice (7.17% vs. 0.96%, p < 0.001), and was better in the primary care center than in the emergency department with the two strategies. Twenty-two HIV-positive people were id...Continue Reading

References

Aug 26, 1998·American Journal of Preventive Medicine·B GerbertM Allerton
Mar 10, 2006·Current Infectious Disease Reports·Jeffrey L GreenwaldBernard Branson
Jun 16, 2009·Journal of Epidemiology and Community Health·L de la FuenteUNKNOWN Health and Sexual Behaviour Survey Group
Feb 25, 2010·AIDS·Nancy S PadianJudith N Wasserheit
Jun 22, 2010·HIV Medicine·A AntinoriUNKNOWN European Late Presenter Consensus Working Group
Oct 12, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Wences ArveloAnna Bowen
Oct 26, 2011·Archives of Internal Medicine·Kayigan Wilson d'AlmeidaUNKNOWN Emergency Department HIV-Screening Group
Mar 21, 2012·American Journal of Epidemiology·Jason S HaukoosRichard L Byyny
Oct 30, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Simon EllisUNKNOWN BHIVA Clinical Audit and Standards sub-committee
Jan 8, 2013·Annals of Emergency Medicine·Jason S HaukoosUNKNOWN Denver Emergency Department HIV Testing Research Consortium
Jun 27, 2013·AIDS Patient Care and STDs·Tammy ChinMehri McKellar
Nov 26, 2013·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·María D Esteban-VasalloRamón Aguirre Martín-Gil
Nov 28, 2013·Annals of Internal Medicine·Virginia A Moyer, UNKNOWN U.S. Preventive Services Task Force
Apr 25, 2014·International Journal of STD & AIDS·Deniz GökenginKeith Radcliffe
Nov 29, 2014·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Martin B DelatyckiJohn Massie
Feb 26, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael S LyonsKenneth E Sherman
Jul 13, 2016·JAMA : the Journal of the American Medical Association·Alison J RodgerUNKNOWN PARTNER Study Group
Jul 19, 2016·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
May 31, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kholoud PorterUNKNOWN ECDC Dublin Declaration Monitoring Network

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Citations

Feb 8, 2021·Internal and Emergency Medicine·Ornella Spagnolello, Matthew J Reed
Sep 27, 2020·Journal of Viral Hepatitis·Javier Martínez-SanzMaría Jesús Pérez-Elías
Jun 3, 2021·Medicina clínica·Magda Muelas-FernandezJhon F Rojas-Lievano

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Methods Mentioned

BETA
ELISA

Software Mentioned

DRIVE
Stata

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