Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Osorio, G; Hoenigl, M; Quartarolo, J; Barger, K; Morris, SR; Reed, SL; Lee, J; Little, SJ.
Evaluation of opt-out inpatient HIV screening at an urban teaching hospital.
AIDS Care. 2017; 29(8):1014-1018
Doi: 10.1080/09540121.2017.1282106
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- Führende Autor*innen der Med Uni Graz
- Hönigl Martin
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- Abstract:
- This study evaluated opt-out inpatient HIV screening delivered by admitting physicians, and compared number of HIV tests and diagnoses to signs and symptoms-directed HIV testing (based on physician orders) in the emergency department (ED). The opt-out inpatient HIV screening program was conducted over a one year period in patients who were admitted to the 386-bed University of California San Diego (UCSD) teaching hospital. Numbers of HIV tests and diagnoses were compared to those observed among ED patients who underwent physician-directed HIV testing during the same time period. Survey data were collected from a convenience sample of patients and providers regarding the opt-out testing program. Among 8488 eligible inpatients, opt-out HIV testing was offered to 3017 (36%) patients, and rapid antibody testing was performed in 1389 (16.4%) inpatients, resulting in 6 (0.4% of all tests) newly identified HIV infections (5/6 were admitted through the ED). Among 27,893 ED patients, rapid antibody testing was performed in 88 (0.3%), with 7 (8.0% of all tests) new HIV infections identified. HIV diagnoses in the ED were more likely to be men who have sex with men (MSM) (p = 0.029) and tended to have AIDS-related opportunistic infections (p = 0.103) when compared to HIV diagnoses among inpatients. While 85% of the 150 physicians who completed the survey were aware of the HIV opt-out screening program, 44% of physicians felt that they did not have adequate time to consent patients for the program, and only 30% agreed that a physician is best-suited to consent patients. In conclusion, the yield of opt-out HIV rapid antibody screening in inpatients was comparable to the national HIV prevalence average. However, uptake of screening was markedly limited in this setting where opt-out screening was delivered by physicians during routine care, with limited time resources being the major barrier.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- California - epidemiology
- Emergency Service, Hospital - statistics & numerical data
- Female -
- HIV Infections - diagnosis
- HIV Infections - epidemiology
- Hospitals, Teaching -
- Humans -
- Inpatients - psychology
- Inpatients - statistics & numerical data
- Male -
- Mass Screening - methods
- Mass Screening - statistics & numerical data
- Middle Aged -
- Patient Acceptance of Health Care - psychology
- Patient Acceptance of Health Care - statistics & numerical data
- Prevalence -
- Program Evaluation -
- Urban Population -
- Find related publications in this database (Keywords)
- HIV testing
- routine
- HIV surveillance
- emergency department
- healthcare setting