Barriers to targeted HIV testing on an acute admissions unit: evaluation of the UK guideline

被引：13

作者：

Peck, L. ^{[2
]}

Ferenczi, E. ^{[2
]}

Burns, F. ^{[3
]}

Cosgrove, C. ^{[3
]}

Brown, M. ^{[1
,2
]}

机构：

[1] Hosp Trop Dis, London WC1E 6JB, England

[2] Univ Coll London Hosp, Acute Admiss Unit, London NW1 2BU, England

[3] UCL, Ctr Sexual Hlth & HIV Res, London WC1E 6JB, England

来源：

QJM-AN INTERNATIONAL JOURNAL OF MEDICINE | 2010年 / 103卷 / 03期

关键词：

EXPERIENCE; DIAGNOSIS;

D O I：

10.1093/qjmed/hcp185

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Methods: We conducted an audit of HIV testing rates over a 3-month period in an inner London acute admissions unit. Results: Lower respiratory tract infection and fever were the most frequent indicator diseases. A total of 14% were known to be HIV positive on admission, indicating a high prevalence of HIV infection among patients presenting with indicator diseases. Of the remaining 56 patients, 29% were tested for HIV infection, with one new positive diagnosis. Conclusions: Longer hospital admission and infectious disease consult were associated with testing. Introduction of an HIV testing protocol based on the UK recommendations had no impact on testing rates. Given the high prevalence of HIV infection in these acute hospital settings, more intensive strategies are needed to facilitate testing.

引用

页码：147 / 151

页数：5

共 10 条

[1]

[Anonymous], 2008, UK NAT GUID HIV TEST

[2] Missed opportunities for earlier HIV diagnosis within primary and secondary healthcare settings in the UK [J].