Addressing Unmet Need for HIV Testing in Emergency Care Settings: A Role for Computer-Facilitated Rapid HIV Testing?  

Oleh:

Kurth, Ann E ; Severynen, Anneleen ; Spielberg, Freya

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Aids Education and Prevention: An Interdisciplinary Journal vol. 25 no. 04 (Aug. 2013), page 287-301.
Topik: Emergency Medical Care; Human Immunodeficiency Virus; HIV; Diagnostic Tests

Ketersediaan

Perpustakaan PKPM Nomor Panggil: A94 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

HIV testing in emergency departments (EDs) remains underutilized. The authors evaluated a computer tool to facilitate rapid HIV testing in an urban ED. Randomly assigned nonacute adult ED patients were randomly assigned to a computer tool (CARE) and rapid HIV testing before a standard visit (n = 258) or to a standard visit (n = 259) with chart access. The authors assessed intervention acceptability and compared noted HIV risks. Participants were 56% nonWhite and 58% male; median age was 37 years. In the CARE arm, nearly all (251/258) of the patients completed the session and received HIV results; four declined to consent to the test. HIV risks were reported by 54% of users; one participant was confirmed HIV-positive, and two were confirmed false-positive (seroprevalence 0.4%, 95% CI [0.01, 2.2]). Half (55%) of the patients preferred computerized rather than face-to-face counseling for future HIV testing. In the standard arm, one HIV test and two referrals for testing occurred. Computer-facilitated HIV testing appears acceptable to ED patients. Future research should assess cost-effectiveness compared with staff-delivered approaches.

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