Rapid HIV testing program implementation: Lessons from the emergency department

被引：14
|
作者：
Arbelaez C. [1 ]
Block B. [1 ]
Losina E. [2 ,5 ,7 ]
Wright E.A. [2 ]
Reichmann W.M. [2 ,7 ]
Mikulinsky R. [2 ]
Solomon J.D. [1 ]
Dooley M.M. [1 ]
Walensky R.P. [3 ,4 ,5 ,6 ]
机构：
[1] Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115
[2] Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA 02115
[3] Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115
[4] Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA 02115
[5] Division of General Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA 02115
[6] Center for AIDS Research, Harvard Medical School, Boston, MA 02115
[7] Department of Biostatistics, Boston University School of Public Health, Boston, MA 02115
来源：
International Journal of Emergency Medicine | 2009年 / 2卷 / 3期
关键词：
Emergency department; HIV; Screening; Testing;
D O I：
10.1007/s12245-009-0123-x
中图分类号：
学科分类号：
摘要：
Background: The US Centers for Disease Control and Prevention (CDC) guidelines and the World Health Organization (WHO) both recommend HIV testing in health-care settings. However, neither organization provides prescriptive details regarding how these recommendations should be adapted into clinical practice in an emergency department. Methods: We have implemented an HIV-testing program in the ED of a major academic medical center within the scope of the Universal Screening for HIV Infection in the Emergency Room (USHER) Trial-a randomized clinical trial evaluating the feasibility and cost-effectiveness of HIV screening in this setting. Results and conclusion: Drawing on our collective experiences in establishing programs domestically and internationally, we offer a practical framework of lessons learned so that others poised to embark on such HIV testing programs may benefit from our experiences. © Springer-Verlag London Ltd 2009.
引用
收藏
页码：187 / 194
页数：7
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