Expanding Hospital Human Immunodeficiency Virus Testing in the Bronx, New York and Washington, District of Columbia: Results from the HPTN 065 Study

Bernard M. Branson, Pollyanna R. Chavez, Brett Hanscom, Elizabeth Greene, Laura McKinstry, Kate Buchacz, Geetha Beauchamp, Theresa Gamble, Barry S. Zingman, Edward Telzak, Tammey Naab, Lisa Fitzpatrick, Wafaa M. El-Sadr

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background Human immunodeficiency virus (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, District of Columbia (DC) undertook efforts 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 1 February 2011 to 31 January 2014, HIV tests were conducted during 6.5% of 1621016 ED visits and 13.0% of 361745 inpatient admissions in Bronx hospitals and 13.8% of 729172 ED visits and 22.0% of 150655 inpatient admissions in DC. From year 1 to year 3, testing was stable in the Bronx (ED visits: 6.6% to 6.9%; inpatient admissions: 13.0% to 13.6%), but increased in DC (ED visits: 11.9% to 15.8%; inpatient admissions: 19.0% to 23.9%). In the Bronx, 0.4% (408) of ED HIV tests were positive and 0.3% (277) were new diagnoses; 1.8% (828) of inpatient tests were positive and 0.5% (244) were new diagnoses. In DC, 0.6% (618) of ED tests were positive and 0.4% (404) were new diagnoses; 4.9% (1349) of inpatient tests were positive and 0.7% (189) were new diagnoses. Conclusions Hospitals consistently identified previously undiagnosed HIV infections, but universal offer of HIV testing proved elusive.

Original languageEnglish (US)
Pages (from-to)1581-1587
Number of pages7
JournalClinical Infectious Diseases
Volume66
Issue number10
DOIs
StatePublished - May 2 2018

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HIV
Hospital Emergency Service
Inpatients
Virus Diseases

Keywords

  • HIV testing in emergency departments
  • HIV testing of hospital inpatients
  • routine HIV screening

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Expanding Hospital Human Immunodeficiency Virus Testing in the Bronx, New York and Washington, District of Columbia : Results from the HPTN 065 Study. / 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.

In: Clinical Infectious Diseases, Vol. 66, No. 10, 02.05.2018, p. 1581-1587.

Research output: Contribution to journalArticle

Branson, BM, Chavez, PR, Hanscom, B, Greene, E, McKinstry, L, Buchacz, K, Beauchamp, G, Gamble, T, Zingman, BS, Telzak, E, Naab, T, Fitzpatrick, L & El-Sadr, WM 2018, 'Expanding Hospital Human Immunodeficiency Virus Testing in the Bronx, New York and Washington, District of Columbia: Results from the HPTN 065 Study', Clinical Infectious Diseases, vol. 66, no. 10, pp. 1581-1587. https://doi.org/10.1093/cid/cix1053
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. / Expanding Hospital Human Immunodeficiency Virus Testing in the Bronx, New York and Washington, District of Columbia : Results from the HPTN 065 Study. In: Clinical Infectious Diseases. 2018 ; Vol. 66, No. 10. pp. 1581-1587.
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abstract = "Background Human immunodeficiency virus (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, District of Columbia (DC) undertook efforts 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 1 February 2011 to 31 January 2014, HIV tests were conducted during 6.5{\%} of 1621016 ED visits and 13.0{\%} of 361745 inpatient admissions in Bronx hospitals and 13.8{\%} of 729172 ED visits and 22.0{\%} of 150655 inpatient admissions in DC. From year 1 to year 3, testing was stable in the Bronx (ED visits: 6.6{\%} to 6.9{\%}; inpatient admissions: 13.0{\%} to 13.6{\%}), but increased in DC (ED visits: 11.9{\%} to 15.8{\%}; inpatient admissions: 19.0{\%} to 23.9{\%}). In the Bronx, 0.4{\%} (408) of ED HIV tests were positive and 0.3{\%} (277) were new diagnoses; 1.8{\%} (828) of inpatient tests were positive and 0.5{\%} (244) were new diagnoses. In DC, 0.6{\%} (618) of ED tests were positive and 0.4{\%} (404) were new diagnoses; 4.9{\%} (1349) of inpatient tests were positive and 0.7{\%} (189) were new diagnoses. Conclusions Hospitals consistently identified previously undiagnosed HIV infections, but universal offer of HIV testing proved elusive.",
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AU - Hanscom, Brett

AU - Greene, Elizabeth

AU - McKinstry, Laura

AU - Buchacz, Kate

AU - Beauchamp, Geetha

AU - Gamble, Theresa

AU - Zingman, Barry S.

AU - Telzak, Edward

AU - Naab, Tammey

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N2 - Background Human immunodeficiency virus (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, District of Columbia (DC) undertook efforts 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 1 February 2011 to 31 January 2014, HIV tests were conducted during 6.5% of 1621016 ED visits and 13.0% of 361745 inpatient admissions in Bronx hospitals and 13.8% of 729172 ED visits and 22.0% of 150655 inpatient admissions in DC. From year 1 to year 3, testing was stable in the Bronx (ED visits: 6.6% to 6.9%; inpatient admissions: 13.0% to 13.6%), but increased in DC (ED visits: 11.9% to 15.8%; inpatient admissions: 19.0% to 23.9%). In the Bronx, 0.4% (408) of ED HIV tests were positive and 0.3% (277) were new diagnoses; 1.8% (828) of inpatient tests were positive and 0.5% (244) were new diagnoses. In DC, 0.6% (618) of ED tests were positive and 0.4% (404) were new diagnoses; 4.9% (1349) of inpatient tests were positive and 0.7% (189) were new diagnoses. Conclusions Hospitals consistently identified previously undiagnosed HIV infections, but universal offer of HIV testing proved elusive.

AB - Background Human immunodeficiency virus (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, District of Columbia (DC) undertook efforts 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 1 February 2011 to 31 January 2014, HIV tests were conducted during 6.5% of 1621016 ED visits and 13.0% of 361745 inpatient admissions in Bronx hospitals and 13.8% of 729172 ED visits and 22.0% of 150655 inpatient admissions in DC. From year 1 to year 3, testing was stable in the Bronx (ED visits: 6.6% to 6.9%; inpatient admissions: 13.0% to 13.6%), but increased in DC (ED visits: 11.9% to 15.8%; inpatient admissions: 19.0% to 23.9%). In the Bronx, 0.4% (408) of ED HIV tests were positive and 0.3% (277) were new diagnoses; 1.8% (828) of inpatient tests were positive and 0.5% (244) were new diagnoses. In DC, 0.6% (618) of ED tests were positive and 0.4% (404) were new diagnoses; 4.9% (1349) of inpatient tests were positive and 0.7% (189) were new diagnoses. Conclusions Hospitals consistently identified previously undiagnosed HIV infections, but universal offer of HIV testing proved elusive.

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