International AIDS Society


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Abstract



Program B.R.I.E.F: high volume, rapid HIV testing in an urban ED

Calderon Y.1, Leider J.2, Hailpern S.M.3, Haughey M.4, Lombardi P.5, Huang D.6, Jordan N.6, Bijur P.E.6, Bauman L.J.7

Objectives: New CDC recommendations underscore the importance of rapid HIV counseling and testing (C&T) in venues such as the ED. This study evaluated an inner-city ED approach to C&T in terms of number of patients who test positive and successful linked into care.
Methods: This prospective cross-sectional evaluation was conducted over a 10 month period with 1.5 FTEs. A convenience sample of stable patients presenting to an inner-city municipal hospital Urgent Care Area (UCA) and ED were recruited. A previously developed and validated video for HIV pre- and post-test counseling based on New York State Department of Health requirements was used. Public Health Advocates (PHAs) trained in HIV counseling actively recruited patients to participate in our rapid HIV testing program. Demographics, risk factors, and sexual history were collected from those patients who both agreed to and refused testing. Data was collected on number of patients tested, those receiving test results, and number of HIV identified patients linked to care.
Results: Of the 3371 patients that were approached, 3159 (93.7%) agreed to be HIV tested. Demographics of the participants were as follows: 49.9% males, mean age 31.9±10.8, 50.0% Hispanic, and 40.7% African American. There were 34 newly diagnosed HIV positive patients. All patients were either admitted to the hospital or initial linked into care.
Conclusions: A video-assisted C&T model for rapid HIV testing in a busy inner-city hospital ED and UCA can effectively test a large number of patients and linked positive HIV patients to care.





4th IAS Conference on HIV Pathogenesis, Treatment and Prevention
Abstract no. MOPEC036


Suggested Citation
"CalderonY., et al. Program B.R.I.E.F: high volume, rapid HIV testing in an urban ED. Poster exhibition: 4th IAS Conference on HIV Pathogenesis, Treatment and Prevention: Abstract no. MOPEC036"