Expanding hospital HIV testing in the Bronx, New York and Washington, D.C.: Results from the HPTN 065 study

Details

• Alternative Title:
  Clin Infect Dis
• Personal Author:
  Branson, Bernard M ; Chavez, Pollyanna R. ; Hanscom, Brett ; Greene, Elizabeth ; McKinstry, Laura ; Buchacz, Kate ; Beauchamp, Geetha ; Gamble, Theresa ; Zingman, Barry S. ; Telzak, Edward ; Naab, Tammey ; Fitzpatrick, Lisa ; El-Sadr, Wafaa M.
  More +
• Description:
  Background ; HIV testing is critical for both HIV treatment and prevention. Expanding testing in hospital settings can identify undiagnosed HIV infections. ; Methods ; To evaluate the feasibility of universally offering HIV testing during emergency department (ED) visits and inpatient admissions, 9 hospitals in the Bronx, New York and 7 in Washington DC undertook various efforts to encourage staff to offer HIV testing routinely. Outcomes included the percentage of encounters with an HIV test, the change from year 1 to year 3, and the percentages of tests that were HIV-positive and new diagnoses. ; Results ; From February 1, 2011 to January 31, 2014, HIV tests were conducted during 6.5% of 1,621,016 ED visits and 13.0% of 361,745 inpatient admissions in Bronx hospitals and 13.8% of 729,172 ED visits and 22.0% of 150,655 inpatient admissions in DC, with wide variation by hospital. From year 1 to year 3, testing was stable in the Bronx (6.6% to 6.9% of ED visits, 13.0% to 13.6% of inpatient admissions), but increased in DC (11.9% to 15.8% of ED visits, 19.0% to 23.9% of inpatient admissions). Overall, in the Bronx 0.4% (408) of ED HIV tests were positive, 0.3% (277) were new diagnoses; 1.8% (828) of inpatient tests were positive, 0.5% (244) were new diagnoses. In DC, 0.6% (618) of ED tests were positive, 0.4% (404) were new diagnoses; 4.9% (1349) of inpatient HIV tests were positive, 0.7% (189) were new diagnoses. ; Conclusion ; Hospitals consistently identified previously undiagnosed HIV infections, but universal offer of HIV testing proved elusive.
• Subjects:
  • Adult
  • District of Columbia
  • Emergency Service, Hospital
  • Female
  • HIV Infections
  • Hospitals
  • Humans
  • Male
  • Mass Screening
  • New York City
• Keywords:
  • Routine HIV screening
  • HIV testing in emergency departments
  • HIV testing of hospital inpatients
• Source:
  Clin Infect Dis. 66(10):1581-1587
• Pubmed ID:
  29186421
• Pubmed Central ID:
  PMC5930256
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/ ; UM1 AI068617/AI/NIAID NIH HHSUnited States/
• Volume:
  66
• Issue:
  10
• Download URL:
  https://stacks.cdc.gov/view/cdc/53809/cdc_53809_DS1.pdf
• File Type:
  [PDF - 365.92 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:a61c1db8bb99e85326945b528a606f0a288d26f0988c59a9a1e727e014eac4c67b409f94214f83ff1f2a56d1d5da35df624dc7a75ac26e313c35fbcd7351bedf