Emergency Department Co-testing for Human Immunodeficiency Virus When Testing for Gonorrhea and Chlamydia A Readily Available, Missed Opportunity for Targeted HIV Testing in Emergency Departments

Phelan Michael P.; Panakkal Vinothini; Muir McKinseySeballos SpencerKadkhoda Kamran

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Emergency Department Co-testing for Human Immunodeficiency Virus When Testing for Gonorrhea and Chlamydia A Readily Available, Missed Opportunity for Targeted HIV Testing in Emergency Departments

机译：Emergency Department Co-testing for Human Immunodeficiency Virus When Testing for Gonorrhea and Chlamydia A Readily Available, Missed Opportunity for Targeted HIV Testing in Emergency Departments

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Objectives Conducting human immunodeficiency virus (HIV) testing in emergency departments (EDs) can be an effective approach to testing and reaching populations at highest risk of contracting HIV. Methods All gonorrhea and chlamydia (G/C) and HIV tests ordered in the Cleveland Clinic Health System's 14 EDs were included in the analysis. Data were collected from electronic health records. Descriptive statistics, with medians and means, were computed. Results From January 1, 2019, to December 31, 2021, we reviewed ED visits for the purpose of sexually transmitted infection (STI) screening, with an emphasis on G/C screening. In October 2019, both HIV rapid testing and G/C testing began across all 14 Cleveland Clinic EDs. The overall rate of co-testing for HIV when obtaining a G/C test for STI evaluation increased overall to around 30 for our health system EDs, with some individual EDs approaching 60. Conclusions The approach the Cleveland Clinic implemented is an effective way to test for HIV in the ED. Local health departments and stakeholders in HIV communities should support and collaborate with EDs in their jurisdictions to accelerate HIV testing initiatives by using an HIV plus G/C co-testing metric.

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来源
《American journal of clinical pathology.》 |2023年第3期|225-227|共3页
作者
Phelan Michael P.; Panakkal Vinothini; Muir McKinseySeballos SpencerKadkhoda Kamran;
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作者单位

Cleveland Clinic Foundation,Cleveland Clin;

Case Western Reserve University,Case Western Reserve Univ;

Robert J Tomsich Pathol & Lab Med Inst,Cleveland Clin;

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原文格式 PDF
正文语种英语
中图分类病理学;
关键词
Sexually transmitted infection; HIV; Emergency department; Co-testing; Gonorrhea; Chlamydia;

Emergency Department Co-testing for Human Immunodeficiency Virus When Testing for Gonorrhea and Chlamydia A Readily Available, Missed Opportunity for Targeted HIV Testing in Emergency Departments

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