Infectious disease/editorialEmergency Department–Based HIV Testing: Too Little, but Not Too Late
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All-in-one dry-reagent time-resolved immunofluorometric assay for the rapid detection of HIV-1 and -2 infections
2015, Journal of Virological MethodsCitation Excerpt :The prevalence of HIV is higher in certain populations groups e.g. in injecting drug users (IDUs), sex-workers, men who have sex with men (MSM), and in attendees of sexually transmitted disease (STD) clinics and emergency departments (EDs) than in the general population (Devi et al., 2010; Hussain, 2014). In addition to the HIV testing of suspected individuals, screening of HIV is highly recommended in settings like STD clinics, EDs, antenatal clinics and pre-surgical units (Bassett and Walensky, 2010; Hussain, 2014; Kelen and Rothman, 2009; Minz et al., 2010; Prabhu et al., 2011; Teja et al., 2008). Although rapid assays for use at point-of-care are relatively easy to perform, they are not high throughput assays and often suffer from lower sensitivity and specificity than enzyme immunoassays (EIAs) (Baveewo et al., 2012; Delaney et al., 2011; Mehra et al., 2014; Ndase et al., 2015).
HIV care continuum for HIV-infected emergency department patients in an inner-city academic emergency department
2015, Annals of Emergency MedicineHuman immunodeficiency virus and emergency departments. Reply
2014, Enfermedades Infecciosas y Microbiologia ClinicaCommentary
2014, Annals of Emergency MedicineHIV screening programs in US emergency departments: A cross-site comparison of structure, process, and outcomes
2011, Annals of Emergency MedicineCitation Excerpt :Our results demonstrate that none of the participating EDs tested more than a small percentage of patients. Targeted programs reached between 2% and 3% of their censuses and nontargeted programs between 5% and 8%,21,25 and a universal screening program reached 7% of its ED census. Furthermore, the prevalence of positive test results did not differ appreciably by the underlying prevalence at sites with broad approaches (ie, nontargeted or universal screening) and that with a targeted approach in a lower prevalence area.
Supervising editor: David A. Talan, MD
Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Dr. Rothman is funded by the Maryland Department of Health and Mental Hygiene and the Maryland AIDS Administration via a CDC grant.
Earn CME Credit: Continuing Medical Education is available for this article at: www.ACEP-EMedHome.com.
Publication date: Available online April 24, 2009.
Reprints not available from the authors.