HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.

<h4>Background</h4>There are approximately 300,000 people in the United States who are co-infected with HIV and HCV. Several organizations recommend that individuals who are HCV infected, as well as persons over the age of 13, should be HIV tested. Comorbidities associated with HCV can b...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ilan Fleisher, Alexander G Geboy, Whitney Nichols, Sameer Desale, Stephen Fernandez, Peter Basch, Dawn A Fishbein
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/574423f61404453183d735a0976b340b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:574423f61404453183d735a0976b340b
record_format	dspace
spelling	oai:doaj.org-article:574423f61404453183d735a0976b340b2021-12-02T20:05:21ZHIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.1932-620310.1371/journal.pone.0252412https://doaj.org/article/574423f61404453183d735a0976b340b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252412https://doaj.org/toc/1932-6203<h4>Background</h4>There are approximately 300,000 people in the United States who are co-infected with HIV and HCV. Several organizations recommend that individuals who are HCV infected, as well as persons over the age of 13, should be HIV tested. Comorbidities associated with HCV can be reduced with early identification of HIV. Our objective was to determine whether providers routinely followed HIV testing guidelines for patients who tested HCV positive (HCV+).<h4>Methods</h4>A retrospective chart review was conducted of all patients in primary care at an academic health system from 7/2015-3/2017 who tested HCV+. As part of a primary database, HCV testing data was collected; HIV testing data was abstracted manually. We collected and described the intervals between HCV and HIV tests. To determine associations with HIV testing univariable and multivariable analyses were performed.<h4>Results</h4>We identified 445 patients who tested HCV+: 56.6% were tested for HIV, the mean age was 57 ± 10.9 years, 77% were from the Birth Cohort born 1945-1965 (BC); 61% were male; and 51% were Black/AA. Patients in the BC were more likely to be HIV tested if they were: male (p = 0.019), Black/AA (p<0.001), and had Medicaid (p = 0.005). These differences were not found in the non-BC. Six patients who were tested for both HIV and HCV were found to be newly HIV positive at the time of testing.<h4>Conclusion</h4>As demonstrated, providers did not routinely follow CDC recommendations as almost half of the HCV+ patients were not correctly tested for HIV. It is important to emphasize that six persons were tested HIV positive simultaneously with their HCV+ diagnosis. If providers did not follow the CDC guidelines, then these patients may not have been identified. Improvements in EHR clinical decision support tools and provider education can help improve the HIV testing rate among individuals who are HCV+.Ilan FleisherAlexander G GeboyWhitney NicholsSameer DesaleStephen FernandezPeter BaschDawn A FishbeinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252412 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ilan Fleisher Alexander G Geboy Whitney Nichols Sameer Desale Stephen Fernandez Peter Basch Dawn A Fishbein HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.
description	<h4>Background</h4>There are approximately 300,000 people in the United States who are co-infected with HIV and HCV. Several organizations recommend that individuals who are HCV infected, as well as persons over the age of 13, should be HIV tested. Comorbidities associated with HCV can be reduced with early identification of HIV. Our objective was to determine whether providers routinely followed HIV testing guidelines for patients who tested HCV positive (HCV+).<h4>Methods</h4>A retrospective chart review was conducted of all patients in primary care at an academic health system from 7/2015-3/2017 who tested HCV+. As part of a primary database, HCV testing data was collected; HIV testing data was abstracted manually. We collected and described the intervals between HCV and HIV tests. To determine associations with HIV testing univariable and multivariable analyses were performed.<h4>Results</h4>We identified 445 patients who tested HCV+: 56.6% were tested for HIV, the mean age was 57 ± 10.9 years, 77% were from the Birth Cohort born 1945-1965 (BC); 61% were male; and 51% were Black/AA. Patients in the BC were more likely to be HIV tested if they were: male (p = 0.019), Black/AA (p<0.001), and had Medicaid (p = 0.005). These differences were not found in the non-BC. Six patients who were tested for both HIV and HCV were found to be newly HIV positive at the time of testing.<h4>Conclusion</h4>As demonstrated, providers did not routinely follow CDC recommendations as almost half of the HCV+ patients were not correctly tested for HIV. It is important to emphasize that six persons were tested HIV positive simultaneously with their HCV+ diagnosis. If providers did not follow the CDC guidelines, then these patients may not have been identified. Improvements in EHR clinical decision support tools and provider education can help improve the HIV testing rate among individuals who are HCV+.
format	article
author	Ilan Fleisher Alexander G Geboy Whitney Nichols Sameer Desale Stephen Fernandez Peter Basch Dawn A Fishbein
author_facet	Ilan Fleisher Alexander G Geboy Whitney Nichols Sameer Desale Stephen Fernandez Peter Basch Dawn A Fishbein
author_sort	Ilan Fleisher
title	HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.
title_short	HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.
title_full	HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.
title_fullStr	HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.
title_full_unstemmed	HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.
title_sort	hiv testing in patients who are hcv positive: compliance with cdc guidelines in a large healthcare system.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/574423f61404453183d735a0976b340b
work_keys_str_mv	AT ilanfleisher hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem AT alexanderggeboy hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem AT whitneynichols hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem AT sameerdesale hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem AT stephenfernandez hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem AT peterbasch hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem AT dawnafishbein hivtestinginpatientswhoarehcvpositivecompliancewithcdcguidelinesinalargehealthcaresystem
_version_	1718375482577125376

HIV testing in patients who are HCV positive: Compliance with CDC guidelines in a large healthcare system.

Ejemplares similares