Initial outcomes of an emergency department rapid HIV testing program in western Kenya

Michael Jay Waxman, Sylvester Kimaiyo, Neford Ongaro, Kara Wools-Kaloustian, Timothy P. Flanigan, E. Jane Carter

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

This paper reports the initial operational outcomes of an emergency department-based HIV testing program in a high-prevalence and resource-limited setting by describing (1) the number and percentage of patients approached, tested, and found to be HIV positive and (2) the linkage of care to the HIV clinic. A retrospective log and chart review of the initial 5 months (January 2006 to April 2006) of the HIV testing program was performed. Patients were selected for HIV testing by routine screening and by provider initiated referrals. Out of the 1371 patients who were approached for HIV testing, 1339 (97.7%) patients were tested for HIV. Three hundred twelve (22.7%) of the patients tested were HIV positive. Within a sample group of patients newly diagnosed with HIV in the department, 82% were compliant with their initial HIV clinic visit and 65% were compliant with a 1-month follow-up visit. The implementation of an emergency department-based HIV testing program in a high HIV prevalence and resource poor country is feasible with a high percentage of patients accepting HIV testing and a high percentage of positive patients presenting to follow-up care. Establishment of rapid HIV testing in emergency departments can identify significant numbers of HIV-positive patients who would otherwise remain undiagnosed and provides an education opportunity for those patients who are HIV negative.

Original languageEnglish
Pages (from-to)981-986
Number of pages6
JournalAIDS Patient Care and STDs
Volume21
Issue number12
DOIs
StatePublished - Dec 1 2007

Fingerprint

Kenya
Hospital Emergency Service
HIV
Aftercare
HIV-2
Ambulatory Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Initial outcomes of an emergency department rapid HIV testing program in western Kenya. / Waxman, Michael Jay; Kimaiyo, Sylvester; Ongaro, Neford; Wools-Kaloustian, Kara; Flanigan, Timothy P.; Carter, E. Jane.

In: AIDS Patient Care and STDs, Vol. 21, No. 12, 01.12.2007, p. 981-986.

Research output: Contribution to journalArticle

Waxman, Michael Jay ; Kimaiyo, Sylvester ; Ongaro, Neford ; Wools-Kaloustian, Kara ; Flanigan, Timothy P. ; Carter, E. Jane. / Initial outcomes of an emergency department rapid HIV testing program in western Kenya. In: AIDS Patient Care and STDs. 2007 ; Vol. 21, No. 12. pp. 981-986.
@article{26fdd6da75904117a7cab14101a65b03,
title = "Initial outcomes of an emergency department rapid HIV testing program in western Kenya",
abstract = "This paper reports the initial operational outcomes of an emergency department-based HIV testing program in a high-prevalence and resource-limited setting by describing (1) the number and percentage of patients approached, tested, and found to be HIV positive and (2) the linkage of care to the HIV clinic. A retrospective log and chart review of the initial 5 months (January 2006 to April 2006) of the HIV testing program was performed. Patients were selected for HIV testing by routine screening and by provider initiated referrals. Out of the 1371 patients who were approached for HIV testing, 1339 (97.7{\%}) patients were tested for HIV. Three hundred twelve (22.7{\%}) of the patients tested were HIV positive. Within a sample group of patients newly diagnosed with HIV in the department, 82{\%} were compliant with their initial HIV clinic visit and 65{\%} were compliant with a 1-month follow-up visit. The implementation of an emergency department-based HIV testing program in a high HIV prevalence and resource poor country is feasible with a high percentage of patients accepting HIV testing and a high percentage of positive patients presenting to follow-up care. Establishment of rapid HIV testing in emergency departments can identify significant numbers of HIV-positive patients who would otherwise remain undiagnosed and provides an education opportunity for those patients who are HIV negative.",
author = "Waxman, {Michael Jay} and Sylvester Kimaiyo and Neford Ongaro and Kara Wools-Kaloustian and Flanigan, {Timothy P.} and Carter, {E. Jane}",
year = "2007",
month = "12",
day = "1",
doi = "10.1089/apc.2007.0075",
language = "English",
volume = "21",
pages = "981--986",
journal = "AIDS Patient Care and STDs",
issn = "1087-2914",
publisher = "Mary Ann Liebert Inc.",
number = "12",

}

TY - JOUR

T1 - Initial outcomes of an emergency department rapid HIV testing program in western Kenya

AU - Waxman, Michael Jay

AU - Kimaiyo, Sylvester

AU - Ongaro, Neford

AU - Wools-Kaloustian, Kara

AU - Flanigan, Timothy P.

AU - Carter, E. Jane

PY - 2007/12/1

Y1 - 2007/12/1

N2 - This paper reports the initial operational outcomes of an emergency department-based HIV testing program in a high-prevalence and resource-limited setting by describing (1) the number and percentage of patients approached, tested, and found to be HIV positive and (2) the linkage of care to the HIV clinic. A retrospective log and chart review of the initial 5 months (January 2006 to April 2006) of the HIV testing program was performed. Patients were selected for HIV testing by routine screening and by provider initiated referrals. Out of the 1371 patients who were approached for HIV testing, 1339 (97.7%) patients were tested for HIV. Three hundred twelve (22.7%) of the patients tested were HIV positive. Within a sample group of patients newly diagnosed with HIV in the department, 82% were compliant with their initial HIV clinic visit and 65% were compliant with a 1-month follow-up visit. The implementation of an emergency department-based HIV testing program in a high HIV prevalence and resource poor country is feasible with a high percentage of patients accepting HIV testing and a high percentage of positive patients presenting to follow-up care. Establishment of rapid HIV testing in emergency departments can identify significant numbers of HIV-positive patients who would otherwise remain undiagnosed and provides an education opportunity for those patients who are HIV negative.

AB - This paper reports the initial operational outcomes of an emergency department-based HIV testing program in a high-prevalence and resource-limited setting by describing (1) the number and percentage of patients approached, tested, and found to be HIV positive and (2) the linkage of care to the HIV clinic. A retrospective log and chart review of the initial 5 months (January 2006 to April 2006) of the HIV testing program was performed. Patients were selected for HIV testing by routine screening and by provider initiated referrals. Out of the 1371 patients who were approached for HIV testing, 1339 (97.7%) patients were tested for HIV. Three hundred twelve (22.7%) of the patients tested were HIV positive. Within a sample group of patients newly diagnosed with HIV in the department, 82% were compliant with their initial HIV clinic visit and 65% were compliant with a 1-month follow-up visit. The implementation of an emergency department-based HIV testing program in a high HIV prevalence and resource poor country is feasible with a high percentage of patients accepting HIV testing and a high percentage of positive patients presenting to follow-up care. Establishment of rapid HIV testing in emergency departments can identify significant numbers of HIV-positive patients who would otherwise remain undiagnosed and provides an education opportunity for those patients who are HIV negative.

UR - http://www.scopus.com/inward/record.url?scp=37549038269&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=37549038269&partnerID=8YFLogxK

U2 - 10.1089/apc.2007.0075

DO - 10.1089/apc.2007.0075

M3 - Article

C2 - 18154494

AN - SCOPUS:37549038269

VL - 21

SP - 981

EP - 986

JO - AIDS Patient Care and STDs

JF - AIDS Patient Care and STDs

SN - 1087-2914

IS - 12

ER -