Non-targeted HIV testing in the emergency department: not just how but where.

Details

Serval ID
serval:BIB_B54576A3493A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Non-targeted HIV testing in the emergency department: not just how but where.
Journal
Expert review of anti-infective therapy
Author(s)
Tan R., Hugli O., Cavassini M., Darling K.
ISSN
1744-8336 (Electronic)
ISSN-L
1478-7210
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
16
Number
12
Pages
893-905
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
The emergency department (ED) has the potential to enhance early HIV diagnosis through HIV testing programs. How these are implemented is a subject of debate. Areas covered: We describe the main HIV testing approaches: diagnostic testing, targeted screening, and non-targeted screening, and review ED-based non-targeted HIV screening studies conducted after 2006 among ≥5000 patients. As well as examining how testing is offered, we focus on where it is offered, through the patient's journey from registration, via triage and the waiting room, to the bedside. Barriers to the testing offer, acceptance and performance were examined at each location. While testing offer rates were higher at registration and triage, compared to the waiting room and bedside, this was sometimes at the expense of testing acceptance and performance. Variables affecting testing rates included type of consent, employment of external staff and type of testing: fourth generation serological testing versus rapid testing. Expert commentary: These large studies shed light on the importance of where as well as how HIV testing is performed, and the ways in which the 'where' can influence non-targeted screening yields. This perspective enables testing approaches to be tailored to specific ED settings in order to maximize testing rates.
Keywords
Early Diagnosis, Emergency Service, Hospital, HIV Infections/diagnosis, Humans, Mass Screening/methods, Patient Acceptance of Health Care, Serologic Tests/methods, HIV, HIV diagnosis, HIV testing, emergency department, non-targeted, opt-out, screening
Pubmed
Web of science
Create date
13/11/2018 12:24
Last modification date
09/04/2020 5:21
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