High-volume rapid HIV testing in an Urban emergency department

Yvette Calderon, Jason Leider, Susan Hailpern, Robert Chin, Reena Ghosh, Jade Fettig, Paul Gennis, Polly E. Bijur, Laurie J. Bauman

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

New Centers for Disease Control and Prevention (CDC) guidelines recommend routine HIV screening in locations including emergency departments. This study evaluates a novel approach to HIV counseling and testing (C&T) in a high-volume inner-city emergency department in terms of the number of patients who can be recruited, tested, test positive, and are linked to care. This prospective evaluation was conducted for 26 months. Noncritically ill or injured patients presenting to an inner-city emergency department were recruited. Patients used a multimedia program that facilitated data entry and viewed previously evaluated HIV counseling videos. Demographic characteristics, risk factors, and sexual history were collected. Data were collected on the number of patients tested, number of HIV-positive patients identified, and number linked to care. Demographic characteristics of the participants were as follows: 48.7% males, mean age 32.6 ±11.3, 34.6% Hispanic, and 37.9 % African American. Of the 7109 eligible patients approached, 6214 (87.4%) agreed to be HIV tested. There were 57 newly diagnosed or confirmed HIV-positive patients, representing a seroprevalence of 0.92%. Of those testing positive, 49 (84.2%) were linked to care and had a mean initial CD4 count of 238cells/mm3. In conclusion, a video-assisted rapid HIV program in a busy inner-city hospital emergency department can effectively test a high volume of patients and successfully link HIV-positive individuals to care, while providing high-quality education and prevention messages for all those who test.

Original languageEnglish (US)
Pages (from-to)749-757
Number of pages9
JournalAIDS Patient Care and STDs
Volume23
Issue number9
DOIs
StatePublished - Sep 1 2009

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Hospital Emergency Service
HIV
Counseling
Demography
Multimedia
Urban Hospitals
Hospital Departments
Seroepidemiologic Studies
Centers for Disease Control and Prevention (U.S.)
CD4 Lymphocyte Count
Hispanic Americans
African Americans
Guidelines
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Calderon, Y., Leider, J., Hailpern, S., Chin, R., Ghosh, R., Fettig, J., ... Bauman, L. J. (2009). High-volume rapid HIV testing in an Urban emergency department. AIDS Patient Care and STDs, 23(9), 749-757. https://doi.org/10.1089/apc.2008.0270

High-volume rapid HIV testing in an Urban emergency department. / Calderon, Yvette; Leider, Jason; Hailpern, Susan; Chin, Robert; Ghosh, Reena; Fettig, Jade; Gennis, Paul; Bijur, Polly E.; Bauman, Laurie J.

In: AIDS Patient Care and STDs, Vol. 23, No. 9, 01.09.2009, p. 749-757.

Research output: Contribution to journalArticle

Calderon, Y, Leider, J, Hailpern, S, Chin, R, Ghosh, R, Fettig, J, Gennis, P, Bijur, PE & Bauman, LJ 2009, 'High-volume rapid HIV testing in an Urban emergency department', AIDS Patient Care and STDs, vol. 23, no. 9, pp. 749-757. https://doi.org/10.1089/apc.2008.0270
Calderon Y, Leider J, Hailpern S, Chin R, Ghosh R, Fettig J et al. High-volume rapid HIV testing in an Urban emergency department. AIDS Patient Care and STDs. 2009 Sep 1;23(9):749-757. https://doi.org/10.1089/apc.2008.0270
Calderon, Yvette ; Leider, Jason ; Hailpern, Susan ; Chin, Robert ; Ghosh, Reena ; Fettig, Jade ; Gennis, Paul ; Bijur, Polly E. ; Bauman, Laurie J. / High-volume rapid HIV testing in an Urban emergency department. In: AIDS Patient Care and STDs. 2009 ; Vol. 23, No. 9. pp. 749-757.
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