Hospital and Laboratory Practice in an Integrated Medical System for HIV Infection Prevention Interventions at a Veteran Affairs Medical Center.
Autor: | Petersen, Jeffrey M, Jhala, Darshana N |
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Předmět: |
SEXUALLY transmitted disease diagnosis
HIV prevention HIV infection risk factors CLINICAL pathology VETERANS' hospitals RETROSPECTIVE studies ACQUISITION of data RISK assessment SEXUALLY transmitted diseases QUALITY assurance MEDICAL records DESCRIPTIVE statistics INTEGRATED health care delivery PATIENT-professional relations MEDICAL care of veterans DISEASE complications |
Zdroj: | Laboratory Medicine; Sep2022, Vol. 53 Issue 5, pe113-e116, 4p |
Abstrakt: | Objective The impact of sexually transmitted infection (STI) results on prompting clinicians to consider pre-exposure prophylaxis (PrEP) indication is sparse in the literature, particularly for veterans. Methods A retrospective search from June 2018 to February 2020 was performed to identify all patients who were HIV-negative at a regional Veteran Affairs Medical Center with a positive STI test result and review the medical chart of these patients. Results We identified 220 veterans who were HIV-negative with a positive STI test result. Of these 220 veterans, 51 unique patients were identified by the clinicians. In a provider-initiated discussion, PrEP was discussed with all 51 patients. In the end, 27 of these 51 patients started PrEP after discussion with their clinical providers. Conclusion Prior positive STI results successfully helped identify patients who may benefit from PrEP. Quality assurance studies on clinician reactions to test result reporting, particularly regarding highly effective preventive therapies, are important. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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