A Model for Routine Hospital-wide HIV Screening: Lessons Learned and Public Health Implications

作者：Maxwell Celia J^*; Sitapati Amy M; Abdus Salaam Sayyida S; Scott Victor; Martin Marsha; Holt Brockenbrough Maya E; Retland Nicole L

来源：Journal of the National Medical Association, 2010, 102(12): 1165-1172.

DOI：10.1016/S0027-9684(15)30771-9

• HIV/AIDS
• screening

Background: Approximately 232 700 (21%) of Americans are unaware of their FIN-seropositive status; this represents a potential for virus tranmission. Revised recommendations from the Centers for Disease Control for HIV screening promote routine screening in the health care setting. We describe the implementation of a hospital-wide routine HIV screening program in the District of Columbia.
Methods: Rapid HIV testing was conducted at Howard University Hospital on consenting patients at least 18 years of age using the OraSure OraQuick.Advance (R) Rapid HIV-1/2 Antibody Test. The study population includes Howard University Hospital patients who were offered HIV screening over a 12-month period at no cost. Screened patients received immediate test results and, for those patients found to be preliminarily reactive, confirmatory testing and linkage to care were offered.
Results: Of the 12 836 patients who were offered testing, 7528 (58.6%) consented. Preliminary reactive test results were identified in 176 patients (2.3%). Overall, 45.5% were confirmed, of which 82.5% were confirmed positive. Screening protocol changes have led to 100% confirmation since implementation.
Conclusions: Hospital-wide routine HIV screening is feasible and can be implemented effectively and efficiently. The HIV screening campaign instituted at Howard University Hospital identified a substantial number of HIV-positive individuals and provided critical connection to follow-up testing, counseling, and disease management services.

• 出版日期2010-12