EMERGENCY DEPARTMENT BASED HIV SCREENING: AN OPPORTUNITY FOR EARLY DIAGNOSIS IN HIGH PREVALENT AREAS
Autor: | VD Teja, Vemu Lakshmi, Talasila Sudha |
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Rok vydání: | 2008 |
Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Adolescent emergency department lcsh:QR1-502 Human immunodeficiency virus (HIV) HIV Infections enzyme-linked immunosorbent assay Hiv testing medicine.disease_cause Asymptomatic lcsh:Microbiology Epidemiology Health care medicine Humans Mass Screening Child Aged Diagnosis Aged 80 and over Rapid test human immunodeficiency virus business.industry Medical record Retrospective cohort study Emergency department Middle Aged medicine.disease Early Diagnosis Child Preschool Emergency medicine Female Medical emergency medicine.symptom Emergency Service Hospital business |
Zdroj: | Indian Journal of Medical Microbiology, Vol 26, Iss 2, Pp 167-171 (2008) |
ISSN: | 0255-0857 |
Popis: | The Emergency Medicine Department (EMD) is an ideal place for public health interventions and provides ready access to the health care system, offering a great opportunity for HIV testing and counselling. Between 2003 and 2005, rapid test was requested for 59.39% of 10,752 cases from EMD, where as ELISA was requested for 40.61%. Of the 317 HIV reactive cases, available medical records of 249 were reviewed for epidemiological and clinical information. Nearly 42% of total reactive cases detected in our Institute were from EMD. Three percent (317/10,752) were diagnosed as HIV reactive, 1.52% of the total samples were reactive by rapid test and the other 1.43% by ELISA. Two and half percent (163/6386) of those who had rapid testing and 3.53% (154/4366) who had ELISA testing, were identified as HIV reactive. All these cases were diagnosed within a mean EMD stay of 2.5 days. Eighty-five percent of HIV reactive individuals were unaware of their reactive status. Additional 53 cases of asymptomatic spouses were diagnosed as HIV reactive, thus making it possible to seek early treatment for HIV infection. The study emphasizes the importance of offering HIV testing to all patients who present to emergency department. |
Databáze: | OpenAIRE |
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