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Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors
05:46

Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors

Published on: April 9, 2014

Rapid HIV testing program implementation: lessons from the emergency department.

Christian Arbelaez1, Brian Block, Elena Losina

  • 1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. carbelaez@partners.org

International Journal of Emergency Medicine
|February 17, 2010
PubMed
Summary
This summary is machine-generated.

Implementing HIV testing in emergency departments (EDs) is recommended by CDC and WHO. This study shares practical lessons learned from establishing an HIV screening program in an academic medical center ED.

Keywords:
Emergency departmentHIVScreeningTesting

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Area of Science:

  • Public Health
  • Infectious Disease Management
  • Clinical Practice Guidelines

Background:

  • The US Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) recommend HIV testing in healthcare settings.
  • Clinical implementation details for emergency departments (EDs) are lacking in current guidelines.
  • HIV screening in EDs presents unique challenges and opportunities for public health.

Purpose of the Study:

  • To describe the implementation of an HIV testing program in an academic medical center ED.
  • To evaluate the feasibility and cost-effectiveness of HIV screening in the ED setting through the Universal Screening for HIV Infection in the Emergency Room (USHER) Trial.
  • To provide a practical framework of lessons learned for establishing similar HIV testing programs.

Main Methods:

  • Implementation of an HIV testing program within an academic medical center ED.
  • Conducting the Universal Screening for HIV Infection in the Emergency Room (USHER) Trial, a randomized clinical trial.
  • Collecting data on feasibility, cost-effectiveness, and practical implementation challenges.

Main Results:

  • The study successfully implemented an HIV testing program in an ED setting.
  • The USHER Trial provided data on the feasibility and cost-effectiveness of this approach.
  • Experience gained offers insights into overcoming implementation barriers.

Conclusions:

  • Establishing HIV testing programs in EDs requires practical frameworks and lessons learned.
  • Sharing experiences can facilitate broader adoption of recommended HIV screening practices.
  • This work supports the integration of HIV testing into routine emergency care.