Impact of a structured HIV testing program in a hospital emergency department and a primary care center

Cristina Gómez-Ayerbe, Javier Martínez-Sanz, Alfonso Muriel, Pilar Pérez Elías, Ana Moreno, Rafael Barea, Lidia Polo, Agustina Cano, Almudena Uranga, Cristina Santos, José Luis Casado, Carmen Quereda, Gema Robledillo, Alberto Díaz- de Santiago, María Jesús Vivancos, Fernando Dronda, Enrique Navas, Santiago Moreno and María Jesús Pérez Elías

PLOS ONE, 2019, vol. 14, issue 8, 1-12

Abstract: Introduction: HIV testing guidelines are poorly implemented in most clinical settings. The best screening strategy and healthcare scenario are still unknown. The aim of our study is to evaluate the impact of a structured HIV testing intervention (DRIVE), compared to HIV testing as routinely performed in clinical practice, in two different clinical settings: a primary care center and an emergency department. Methods: Prospective evaluation of an HIV testing strategy in two clinical settings from the same healthcare area. The DRIVE program included trained nurse practitioners to perform the screening, a questionnaire to assess the risk of exposure and HIV indicator conditions (RE&IC), and rapid HIV tests. The main variables between the DRIVE program and clinical practice were the absolute number of newly diagnosed HIV infections and testing coverage. Results: The DRIVE program included 5,329 participants, of which 51.2% reported at least one positive answer in the questionnaire. The estimated HIV testing coverage was significantly higher in the DRIVE program than in the routine clinical practice (7.17% vs. 0.96%, p

Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0220375

DOI: 10.1371/journal.pone.0220375

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