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Does Hospital HIV Testing Need Expanding?

Clin Infect Dis; ePub 2017 Nov 27; Branson, et al

Hospitals consistently identified previously undiagnosed HIV infections, but failed to universally offer routine HIV testing, a recent study found. The HPTN 065 study evaluated the feasibility of universally offering HIV testing during emergency department (ED) visits and inpatient admissions in 9 hospitals in the Bronx, NY, and 7 in Washington, DC. 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. Among the findings:

  • 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 Washington, DC from February 1, 2011 to January 31, 2014, with wide variation by hospital.
  • From year 1 to 3, testing was stable in the Bronx but increased in Washington, DC.
  • Overall, in the Bronx, 0.4% of ED HIV tests were positive, 0.3% were new diagnoses, 1.8% of inpatient tests were positive, and 0.5% were new diagnoses.
  • In Washington, DC, 0.6% of ED tests were positive, 0.4% were new diagnoses, 4.9% of inpatient HIV tests were positive, and 0.7% were new diagnoses.

Citation:

Branson BM, Chavez PR, Hanscom B, et al. Expanding hospital HIV testing in the Bronx, New York and Washington, D.C.: Results from the HPTN 065 study. [Published online ahead of print November 27, 2017]. Clin Infect Dis. doi:10.1093/cid/cix1053.

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