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Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk

BACKGROUND: In 2006, to increase opportunities for patients to become aware of their HIV status, the Centers for Disease Control and Prevention released updated guidelines for routine, opt-out HIV screening of adults, adolescents, and pregnant women in healthcare settings. To date, there are few doc...

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Autores principales: Myers, Janet J., Modica, Cheryl, Dufour, Mi-Suk Kang, Bernstein, Caryn, McNamara, Kathleen
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2787931/
https://www.ncbi.nlm.nih.gov/pubmed/19655204
http://dx.doi.org/10.1007/s11606-009-1070-1
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author Myers, Janet J.
Modica, Cheryl
Dufour, Mi-Suk Kang
Bernstein, Caryn
McNamara, Kathleen
author_facet Myers, Janet J.
Modica, Cheryl
Dufour, Mi-Suk Kang
Bernstein, Caryn
McNamara, Kathleen
author_sort Myers, Janet J.
collection PubMed
description BACKGROUND: In 2006, to increase opportunities for patients to become aware of their HIV status, the Centers for Disease Control and Prevention released updated guidelines for routine, opt-out HIV screening of adults, adolescents, and pregnant women in healthcare settings. To date, there are few documented applications of these recommendations. OBJECTIVE: To measure the impact of application of the guidelines for routine screening in health centers serving communities disproportionately affected by HIV in the southeastern US. DESIGN: A multi-site program implementation study, describing patients tested and not tested and assessing changes in testing frequency before and after new guidelines were implemented. PARTICIPANTS: All patients aged 13 to 64 seen in participating health centers. INTERVENTIONS: Routine rapid HIV screening in accord with CDC guidelines. MEASUREMENTS: The frequency of testing before and after routine screening was in place and demographic differences in offering and receipt of testing. MAIN RESULTS: Compared to approximately 3,000 patients in the year prior to implementation, 16,148 patients were offered testing with 10,769 tested. Of 39 rapid tests resulting in preliminary positives, 17 were newly detected infections. Among these patients, 12 of 14 receiving referrals were linked to HIV care. Nineteen were false positives. Younger patients, African Americans and Latinos were more likely to receive testing. CONCLUSIONS: By integrating CDC-recommended guidelines and applying rapid test technology, health centers were able to provide new access to HIV testing. Variation across centers in offering and receiving tests may indicate that clinical training could enhance universal access.
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spelling pubmed-27879312010-01-15 Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk Myers, Janet J. Modica, Cheryl Dufour, Mi-Suk Kang Bernstein, Caryn McNamara, Kathleen J Gen Intern Med Original Article BACKGROUND: In 2006, to increase opportunities for patients to become aware of their HIV status, the Centers for Disease Control and Prevention released updated guidelines for routine, opt-out HIV screening of adults, adolescents, and pregnant women in healthcare settings. To date, there are few documented applications of these recommendations. OBJECTIVE: To measure the impact of application of the guidelines for routine screening in health centers serving communities disproportionately affected by HIV in the southeastern US. DESIGN: A multi-site program implementation study, describing patients tested and not tested and assessing changes in testing frequency before and after new guidelines were implemented. PARTICIPANTS: All patients aged 13 to 64 seen in participating health centers. INTERVENTIONS: Routine rapid HIV screening in accord with CDC guidelines. MEASUREMENTS: The frequency of testing before and after routine screening was in place and demographic differences in offering and receipt of testing. MAIN RESULTS: Compared to approximately 3,000 patients in the year prior to implementation, 16,148 patients were offered testing with 10,769 tested. Of 39 rapid tests resulting in preliminary positives, 17 were newly detected infections. Among these patients, 12 of 14 receiving referrals were linked to HIV care. Nineteen were false positives. Younger patients, African Americans and Latinos were more likely to receive testing. CONCLUSIONS: By integrating CDC-recommended guidelines and applying rapid test technology, health centers were able to provide new access to HIV testing. Variation across centers in offering and receiving tests may indicate that clinical training could enhance universal access. Springer-Verlag 2009-08-05 2009-12 /pmc/articles/PMC2787931/ /pubmed/19655204 http://dx.doi.org/10.1007/s11606-009-1070-1 Text en © The Author(s) 2009
spellingShingle Original Article
Myers, Janet J.
Modica, Cheryl
Dufour, Mi-Suk Kang
Bernstein, Caryn
McNamara, Kathleen
Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
title Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
title_full Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
title_fullStr Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
title_full_unstemmed Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
title_short Routine Rapid HIV Screening in Six Community Health Centers Serving Populations at Risk
title_sort routine rapid hiv screening in six community health centers serving populations at risk
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2787931/
https://www.ncbi.nlm.nih.gov/pubmed/19655204
http://dx.doi.org/10.1007/s11606-009-1070-1
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