HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.

<h4>Objective</h4>Multiple HIV outbreaks among persons who inject drugs (PWID) have occurred in the US since 2015. Emergency departments (EDs), recognized as essential venues for HIV screening, may play a unique role in identifying undiagnosed HIV among PWID, who frequently present for c...

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Autores principales:	Kiran A Faryar, Rachel M Ancona, Zachary Reau, Sheryl B Lyss, Robert S Braun, Todd Rademaker, Ryane K Sickles, Michael S Lyons
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/76f6b392d5e243d5ae7bccbf66c826f9
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spelling	oai:doaj.org-article:76f6b392d5e243d5ae7bccbf66c826f92021-11-25T06:19:08ZHIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.1932-620310.1371/journal.pone.0251756https://doaj.org/article/76f6b392d5e243d5ae7bccbf66c826f92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251756https://doaj.org/toc/1932-6203<h4>Objective</h4>Multiple HIV outbreaks among persons who inject drugs (PWID) have occurred in the US since 2015. Emergency departments (EDs), recognized as essential venues for HIV screening, may play a unique role in identifying undiagnosed HIV among PWID, who frequently present for complications of injection drug use (IDU). Our objective was to describe changes in HIV diagnoses among PWID detected by an ED HIV screening program and estimate the program's contribution to HIV diagnoses among PWID county-wide during the emergence of a regional HIV outbreak.<h4>Methods</h4>This was a retrospective study of electronically queried clinical records from an urban, safety-net ED's HIV screening program and publicly available HIV surveillance data for its surrounding county, Hamilton County, Ohio. Outcomes included the change in number of HIV diagnoses and the ED's contribution to case identification county-wide, overall and for PWID during 2014-2018.<h4>Results</h4>During 2014-2018, the annual number of HIV diagnoses made by the ED program increased from 20 to 42 overall, and from 1 to 18 for PWID. We estimated that the ED contributed 18% of HIV diagnoses in the county and 22% of diagnoses among PWID.<h4>Conclusions</h4>The ED program contributed 1 in 5 new HIV diagnoses among PWID county-wide, further illustrating the importance of ED HIV screening programs in identifying undiagnosed HIV infections. In areas experiencing increasing IDU, HIV screening in EDs can provide an early indication of increasing HIV diagnoses among PWID and can substantially contribute to case-finding during an HIV outbreak.Kiran A FaryarRachel M AnconaZachary ReauSheryl B LyssRobert S BraunTodd RademakerRyane K SicklesMichael S LyonsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251756 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kiran A Faryar Rachel M Ancona Zachary Reau Sheryl B Lyss Robert S Braun Todd Rademaker Ryane K Sickles Michael S Lyons HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.
description	<h4>Objective</h4>Multiple HIV outbreaks among persons who inject drugs (PWID) have occurred in the US since 2015. Emergency departments (EDs), recognized as essential venues for HIV screening, may play a unique role in identifying undiagnosed HIV among PWID, who frequently present for complications of injection drug use (IDU). Our objective was to describe changes in HIV diagnoses among PWID detected by an ED HIV screening program and estimate the program's contribution to HIV diagnoses among PWID county-wide during the emergence of a regional HIV outbreak.<h4>Methods</h4>This was a retrospective study of electronically queried clinical records from an urban, safety-net ED's HIV screening program and publicly available HIV surveillance data for its surrounding county, Hamilton County, Ohio. Outcomes included the change in number of HIV diagnoses and the ED's contribution to case identification county-wide, overall and for PWID during 2014-2018.<h4>Results</h4>During 2014-2018, the annual number of HIV diagnoses made by the ED program increased from 20 to 42 overall, and from 1 to 18 for PWID. We estimated that the ED contributed 18% of HIV diagnoses in the county and 22% of diagnoses among PWID.<h4>Conclusions</h4>The ED program contributed 1 in 5 new HIV diagnoses among PWID county-wide, further illustrating the importance of ED HIV screening programs in identifying undiagnosed HIV infections. In areas experiencing increasing IDU, HIV screening in EDs can provide an early indication of increasing HIV diagnoses among PWID and can substantially contribute to case-finding during an HIV outbreak.
format	article
author	Kiran A Faryar Rachel M Ancona Zachary Reau Sheryl B Lyss Robert S Braun Todd Rademaker Ryane K Sickles Michael S Lyons
author_facet	Kiran A Faryar Rachel M Ancona Zachary Reau Sheryl B Lyss Robert S Braun Todd Rademaker Ryane K Sickles Michael S Lyons
author_sort	Kiran A Faryar
title	HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.
title_short	HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.
title_full	HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.
title_fullStr	HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.
title_full_unstemmed	HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.
title_sort	hiv detection by an emergency department hiv screening program during a regional outbreak among people who inject drugs.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/76f6b392d5e243d5ae7bccbf66c826f9
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HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs.

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