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1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area

BACKGROUND: Individuals living with HIV infection and/or Hep C infection and unaware of their infected status are at risk of significant morbidity and a risk to public health. It has been recommended that all conscious adults presenting to Emergency Departments (EDs) be tested for HIV and increasing...

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Autores principales: Rodriguez, Gilhen, Prater, Samuel, Heresi, Gloria, Murphy, James, Wanger, Audrey, Murphy, Daniel, Del Bianco, Gabriela P, Aguilera, Elizabeth A, McCarthy, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6809437/
http://dx.doi.org/10.1093/ofid/ofz360.1156
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author Rodriguez, Gilhen
Prater, Samuel
Heresi, Gloria
Murphy, James
Wanger, Audrey
Murphy, Daniel
Del Bianco, Gabriela P
Aguilera, Elizabeth A
McCarthy, James
author_facet Rodriguez, Gilhen
Prater, Samuel
Heresi, Gloria
Murphy, James
Wanger, Audrey
Murphy, Daniel
Del Bianco, Gabriela P
Aguilera, Elizabeth A
McCarthy, James
author_sort Rodriguez, Gilhen
collection PubMed
description BACKGROUND: Individuals living with HIV infection and/or Hep C infection and unaware of their infected status are at risk of significant morbidity and a risk to public health. It has been recommended that all conscious adults presenting to Emergency Departments (EDs) be tested for HIV and increasingly testing for Hep C. Testing of all arrivals is important because a majority of both infections may not present signature signs or symptoms associated with the reason for the ED visit. For these reasons, the implementation of a bundled HIV/HepC testing protocol is reported here. METHODS: Data from 4 years of HIV/Hep C screening of patients 18 to 64 years old made in 9 EDs in the Houston Metropolitan Area are reviewed. Screening for HIV was using HIV fourth-generation ADVIA Centaur™ Ag/Ab COMBO (Siemens) and Hep C was tested for using Gilead Hep C Ab testing. RESULTS: During January 2013 until October 2016, 3,976 HIV/Hep C test bundles were performed. There were 40 (1.0%) HIV+ and 407 (10.2%) Hep C positive detected. Nine (0.2%) of these individuals were positive for both HIV and Hep C. A 22.5% of HIV-positive patients were co-infected with Hep C. The population had a median age of 53 years, comprising an equal number of males and females. CONCLUSION: A significant prevalence of Hep C (10%) and HIV (1%) was found in patients presenting for any cause of major EDs in the Houston region. Bundled HIV/Hep C testing of all arrivals to EDs is an effective way to identify individuals that need to be directed to antiviral and linkage to care. DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-68094372019-10-28 1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area Rodriguez, Gilhen Prater, Samuel Heresi, Gloria Murphy, James Wanger, Audrey Murphy, Daniel Del Bianco, Gabriela P Aguilera, Elizabeth A McCarthy, James Open Forum Infect Dis Abstracts BACKGROUND: Individuals living with HIV infection and/or Hep C infection and unaware of their infected status are at risk of significant morbidity and a risk to public health. It has been recommended that all conscious adults presenting to Emergency Departments (EDs) be tested for HIV and increasingly testing for Hep C. Testing of all arrivals is important because a majority of both infections may not present signature signs or symptoms associated with the reason for the ED visit. For these reasons, the implementation of a bundled HIV/HepC testing protocol is reported here. METHODS: Data from 4 years of HIV/Hep C screening of patients 18 to 64 years old made in 9 EDs in the Houston Metropolitan Area are reviewed. Screening for HIV was using HIV fourth-generation ADVIA Centaur™ Ag/Ab COMBO (Siemens) and Hep C was tested for using Gilead Hep C Ab testing. RESULTS: During January 2013 until October 2016, 3,976 HIV/Hep C test bundles were performed. There were 40 (1.0%) HIV+ and 407 (10.2%) Hep C positive detected. Nine (0.2%) of these individuals were positive for both HIV and Hep C. A 22.5% of HIV-positive patients were co-infected with Hep C. The population had a median age of 53 years, comprising an equal number of males and females. CONCLUSION: A significant prevalence of Hep C (10%) and HIV (1%) was found in patients presenting for any cause of major EDs in the Houston region. Bundled HIV/Hep C testing of all arrivals to EDs is an effective way to identify individuals that need to be directed to antiviral and linkage to care. DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2019-10-23 /pmc/articles/PMC6809437/ http://dx.doi.org/10.1093/ofid/ofz360.1156 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Rodriguez, Gilhen
Prater, Samuel
Heresi, Gloria
Murphy, James
Wanger, Audrey
Murphy, Daniel
Del Bianco, Gabriela P
Aguilera, Elizabeth A
McCarthy, James
1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area
title 1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area
title_full 1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area
title_fullStr 1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area
title_full_unstemmed 1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area
title_short 1293. Bundled HIV/Hep C testing 4 Years of Implementation at 9 Emergency Departments in the Houston Metropolitan Area
title_sort 1293. bundled hiv/hep c testing 4 years of implementation at 9 emergency departments in the houston metropolitan area
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6809437/
http://dx.doi.org/10.1093/ofid/ofz360.1156
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