403 Description and impact of an emergency department opt-out HIV screening program
Recommended Citation
Hagerman TK, Rammal J, Loszewski CA, Tuttle JE, Brar I, Payne S, Zahul S, Miller J, Klausner HA, Joyce KM, Manteuffel J. 403 Description and impact of an emergency department opt-out HIV screening program. Acad Emerg Med 2024; 31(S1):192.
Document Type
Conference Proceeding
Publication Date
5-13-2024
Publication Title
Acad Emerg Med
Abstract
Background and Objectives: Emergency department (ED) based HIV screening initiatives are effective in new case identification, allow for early detection, and are encouraged by CDC guidelines. Collaboration with Infectious Diseases allows for early linkage to care. We describe our ED-based opt-out HIV screening program in an urban ED. Methods: This is a retrospective analysis of an opt-out HIV screening program in an urban ED from 7/16/2020 to 10/28/2023. A best practice alert (BPA) prompted providers to order an HIV screening test for patients ages 18–65 that were not known to have HIV for whom a complete blood count was already being ordered. Patients were informed of the ordered test and could opt-out. The division of infectious disease managed patient notification and follow up. Results: During the study period, a total of 36,905 fourth generation HIV screening tests were performed, of which 494 tests were reactive (1.34% of tests performed). Of the reactive tests, 86 patients (0.23% of all tests) were found to have a new diagnosis of HIV (38% with CD4?
Volume
31
Issue
S1
First Page
192
