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Routine HIV screening in the ED is cost effective and well liked by patients
May 16, 2007
Using the new and highly publicized CDC guidelines for HIV screening, a university-based Emergency Department implemented opt-out screening in Washington, DC, where HIV infection rates are known to be high. Fully 60% of the patients agreed to the testing, a high percentage that may have been influenced by an ongoing district-wide campaign encouraging HIV screening. Over 4000 patients were eligible for the free screening and almost 2500 were tested, with 26 patients (1%) having a preliminary positive result. Rapid screening kits were provided free of charge by the DC Department of Health and researchers were enlisted to conduct the clinical activities. As such, this effort would not be sustainable over time, but the author will suggest some models for ongoing program implementation.
The study resulted in a cost per preliminary positive of approximately $1,700, and a cost of $4,900 per confirmed case of HIV infection. According to study author Jeremy Brown, MD, Research Director, Department of Emergency Medicine, George Washington University Medical School, "Washington, DC has one of the highest AIDS case prevalence rates in the United States and our results suggest that ED HIV screening in this high prevalence area is well accepted by patients. The cost per case detected is low when compared with other methods for the early detection of HIV. For example nucleic acid amplification has been used to detect early detection of HIV infection at a cost of over $17,000 per index case identified."
The presentation is entitled "Opt- Out HIV Testing in the Emergency Department: Results From A High Prevalence Setting Following the New CDC Guidelines" by Jeremy Brown, MD. This paper will be presented at the 2007 Society for Academic Emergency Medicine (SAEM) Annual Meeting, May 16-19, 2007, Chicago, IL on Wednesday, May 16th, in the HIV Testing session beginning at 3:30 in room Michigan B of the Sheraton Chicago Hotel & Towers. Abstracts of the papers presented are published in Volume 14, Issue 5S, the May 2007 supplement of the official journal of the SAEM, Academic Emergency Medicine.
Elsevier Health Sciences
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Related HIV Screening Current Events and HIV Screening News Articles HIV Screening Current Events and HIV Screening News RSS Many pregnant women avoid HIV screening in Africa 'Prevention is the best cure' is a common expression, but what happens if preventative measures are not used? A large proportion of pregnant Ugandan women are going out of their way not to be HIV tested, increasing the risk of mother-to-child transmission.
New study debunks misconceptions about barriers to the CDC's HIV testing recommendations Since the Centers for Disease Control and Prevention (CDC) released revised recommendations for opt-out HIV testing in 2006, there has been significant debate around the barriers to widespread implementation of the recommendations.
ACP recommends routine HIV screening for all patients On World AIDS Day, the American College of Physicians (ACP) is giving doctors a call-to-action to routinely encourage HIV screening to all of their patients older than 13 years. This new practice guideline appears on the Annals of Internal Medicine Web site at www.annals.org.
Higher HIV infection estimate shows need for routine screening, more funding for care The Centers for Disease Control and Prevention (CDC) is expected soon to increase the estimate of new HIV infections in the United States by 40 percent. This highlights the need to make HIV testing a routine part of medical care and provide better funding to care for those who test positive, according to the HIV Medicine Association (HIVMA).
Fight against HIV needs local scientists, say researchers Scientists from developing countries are vitally important in the fight against HIV and they must be given the proper resources to conduct their work, according to a new commentary published today in the journal Nature Immunology.
Rapid oral HIV test shows great promise according to MUHC-led research A convenient, easy to use, and rapid alternative to blood-based HIV testing may become the new standard for field testing according to a new MUHC study.
Study Suggests Potential Of Low-cost Options For Monitoring Disease Status In Hiv-1-Infected Children In Less-developed Countries (pp 1597, 1625) Authors of a research letter in this week's issue of THE LANCET highlight how assessment of total blood lymphocyte count and albumen concentrations could have potential as low-cost alternatives in assessing the disease status of HIV-1-infected children in less-developed countries. The cost of laboratory analysis of CD4 lymphocyte count and viral-load assessment (conventional procedures in industrialised countries) is more expensive than the cost of antiretroviral drugs in some resource-poor settings. Lynne Mofenson from the US National Institutes of Health, and colleagues assessed the prognostic value of five measures (total lymphocyte count, immune complex-dissociated p24 antigen, white bl More HIV Screening Current Events and HIV Screening News Articles
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HIV and AIDS: Testing, Screening, and Confidentiality (Issues in Biomedical Ethics)
by Rebecca Bennett (Editor), Charles A. Erin (Editor)
Testing and screening for HIV and AIDS give rise to ethical, legal, and social issues of the most controversial and delicate kind. In this highly important book, an international team of eighteen doctors, philosophers, and lawyers present a fresh and thorough discussion of these issues. They not only aim to show the way to practical advances but also to provide an accessible guide to the debates for readers who have not been previously introduced to them. And they pay particular attention to the sensitive nature of the information yielded by a test for the HIV antibody. Together, the essays illuminate public policy and medical practice in connection with HIV and AIDS as well as broader issues about professional ethics and individual rights in other medical and social contexts.
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OraSure OraQuick ADVANCE Rapid HIV-1/2 Antibody Test, Box of 100
by OraSure Technologies
OraQuick ADVANCEĀ® Rapid HIV-1/2 Antibody Test is: Rapid Provides results in 20 minutes, enabling patients to learn their status in a single visit and allows HIV positive patients to be connected to care immediately. Flexible Approved for oral fluid, plasma, fingerstick or venipuncture whole blood specimens. Ideal for both clinical and non-clinical settings. Accurate Greater than 99% agreement with confirmatory Western blot. Simple CLIA-waived for oral fluid, fingerstick and venipuncture whole blood and offers the ability to test in non-traditional testing environments, such as outreach programs and mobile testing clinics. Patient-Preferred Offers patients accurate HIV testing without the need for blood or needles. Pain-free testing with oral fluid means more people get...
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PR Newswire : NIDA-Funded Studies Show Expanding HIV Screening Is Cost Effective.
by PR Newswire Association LLC (Publisher)
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Universal HIV screening may overload care system.(News): An article from: Internal Medicine News
by Sherry Boschert (Author)
This digital document is an article from Internal Medicine News, published by Thomson Gale on January 1, 2007. The length of the article is 546 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details Title: Universal HIV screening may overload care system.(News) Author: Sherry Boschert Publication: Internal Medicine News (Magazine/Journal) Date: January 1, 2007 Publisher: Thomson Gale Volume: 40 Issue: 1 Page: 5(1)
Distributed by Thomson...
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CDC recommends routine HIV screening regardless of patient risk.(News)(Centers for Disease Control and Prevention): An article from: Internal Medicine News
by Robert Finn (Author)
This digital document is an article from Internal Medicine News, published by Thomson Gale on October 15, 2006. The length of the article is 791 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details Title: CDC recommends routine HIV screening regardless of patient risk.(News)(Centers for Disease Control and Prevention) Author: Robert Finn Publication: Internal Medicine News (Magazine/Journal) Date: October 15, 2006 Publisher: Thomson Gale Volume: 39 Issue: 20 Page: 9(1)
Distributed by Thomson...
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Study: HIV screening in pregnancy falls short.(OBSTETRICS)(Clinical report): An article from: OB GYN News
by Kate Johnson (Author)
This digital document is an article from OB GYN News, published by International Medical News Group on October 1, 2009. The length of the article is 542 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available immediately after purchase. You can view it with any web browser.
Citation Details Title: Study: HIV screening in pregnancy falls short.(OBSTETRICS)(Clinical report) Author: Kate Johnson Publication: OB GYN News (Magazine/Journal) Date: October 1, 2009 Publisher: International Medical News Group Volume: 44 Issue: 12 Page: 18(1)
Article Type: Clinical report
Distributed by Gale, a part of Cengage...
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Universal HIV screening may overload system.(Practice Trends): An article from: Skin & Allergy News
by Sherry Boschert (Author)
This digital document is an article from Skin & Allergy News, published by Thomson Gale on January 1, 2007. The length of the article is 653 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details Title: Universal HIV screening may overload system.(Practice Trends) Author: Sherry Boschert Publication: Skin & Allergy News (Magazine/Journal) Date: January 1, 2007 Publisher: Thomson Gale Volume: 38 Issue: 1 Page: 71(1)
Distributed by Thomson...
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CDC recommends routine HIV screening.(Centers for Disease Control and Prevention)(human immunodeficiency virus): An article from: Clinical Psychiatry News
by Robert Finn (Author)
This digital document is an article from Clinical Psychiatry News, published by Thomson Gale on November 1, 2006. The length of the article is 821 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details Title: CDC recommends routine HIV screening.(Centers for Disease Control and Prevention)(human immunodeficiency virus) Author: Robert Finn Publication: Clinical Psychiatry News (Magazine/Journal) Date: November 1, 2006 Publisher: Thomson Gale Volume: 34 Issue: 11 Page: 56(1)
Distributed by Thomson...
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Screening HIV-infected persons for tuberculosis--Cambodia, January 2004-February 2005.: An article from: Morbidity and Mortality Weekly Report
by C. Vannarith (Author), N. Kanara (Author), M. Qualls (Author), J. Varma (Author), K. Laserson (Author), C. Wells (Author), K. Cain (Author)
This digital document is an article from Morbidity and Mortality Weekly Report, published by Thomson Gale on November 25, 2005. The length of the article is 2448 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details Title: Screening HIV-infected persons for tuberculosis--Cambodia, January 2004-February 2005. Author: C. Vannarith Publication: Morbidity and Mortality Weekly Report (Newsletter) Date: November 25, 2005 Publisher: Thomson Gale Volume: 54 Issue: 46 Page: 1177(4)
Distributed by Thomson...
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Genetic screening test can lower rates of HIV and hepatitis transmission to blood and tissue recipients.: An article from: Transplant News
by Transplant Communications, Inc. (Publisher)
This digital document is an article from Transplant News, published by Transplant Communications, Inc. on August 31, 2004. The length of the article is 662 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
Citation Details Title: Genetic screening test can lower rates of HIV and hepatitis transmission to blood and tissue recipients. Publication: Transplant News (Newsletter) Date: August 31, 2004 Publisher: Transplant Communications, Inc. Volume: 14 Issue: 16
Distributed by Thomson...
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