Moving Beyond Screening: How Emergency Departments Can Help Extinguish the HIV/AIDS Epidemic

被引：12

作者：

Menchine, Michael ^{[1
,2
]}

Zhou, Michael ^{[3
]}

Lotfipour, Shahram ^{[4
]}

Chakravarthy, Bharath ^{[4
]}

机构：

[1] USC, Keck Sch Med, Dept Emergency Med, 1011 North State St Rm 1011, Los Angeles, CA 90033 USA

[2] USC, Schaeffer Ctr Hlth Policy & Econ, Los Angeles, CA 90089 USA

[3] Tufts Univ, Sch Med, Boston, MA 02111 USA

[4] Univ Calif Irvine, Sch Med, Dept Emergency Med, Irvine, CA 92868 USA

来源：

WESTERN JOURNAL OF EMERGENCY MEDICINE | 2016年 / 17卷 / 04期

关键词：

Emergency Medicine; HIV; Screening;

D O I：

10.5811/westjem.2016.1.29100

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

While great strides have been made in diagnostic and treatment strategies, human immunodeficiency virus (HIV) remains a major public health epidemic. The Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report article, "Vital Signs: HIV Diagnosis, Care, and Treatment Among Persons Living with HIV - United States, 2011," highlights current areas of concern regarding HIV diagnosis and care. The CDC estimates that 1.2 million people in the U.S. are living with HIV. Of them, 86% have received a diagnosis (14% remain undiagnosed and unaware), but only 40% are engaged in care and a mere 30% are virally suppressed. Emergency departments (EDs) can play a major role in combatting the HIV epidemic through regular screening and facilitating linkage to chronic HIV care. Universal opt-out screening as recommended by the CDC in 2006 has been shown to be effective but expensive, and has not been widely implemented in EDs nationwide. Cost-effective models and a renewed commitment from ED providers are needed to enhance ED-based HIV containment strategies.

引用

页码：135 / 138

页数：4

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