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Opportunities for earlier HIV diagnosis in a pediatric ED.

Publication ,  Journal Article
Eckerle, MD; Namde, M; Holland, CK; Ruffner, AH; Hart, KW; Lindsell, CJ; Reed, JL; Lyons, MS
Published in: Am J Emerg Med
July 2015

OBJECTIVES: Emergency department (ED) HIV screening is recommended but challenging to implement and of uncertain effectiveness in pediatric EDs (PEDs). We sought to determine whether there were opportunities for earlier HIV diagnosis in the PED for a cohort of young adults diagnosed with HIV. METHODS: This retrospective cohort study reviewed PED records of a group of young adults receiving HIV care in an urban hospital setting. Pediatric ED visits were selected for review if they took place after the patient's estimated time of HIV acquisition and before their eventual diagnosis. Charts were reviewed to determine whether HIV infection was suspected and whether testing was offered. RESULTS: Among a cohort of HIV-positive young adults, only 3 (3.6%; 95% confidence interval, 0.9-10.8) of 84 were seen in the PED during the time they were undiagnosed but likely to be infected with HIV. Among these subjects, there was no documentation that HIV testing was offered or refused nor was there documented suspicion of HIV. CONCLUSIONS: There are opportunities for earlier diagnosis of HIV in PEDs, affirming the importance of HIV screening implementation in these settings. However, PEDs are unlikely to have the same frequency of contact with undiagnosed individuals as do adult EDs. Alternative methods of accessing at-risk adolescent populations must be identified.

Duke Scholars

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Published In

Am J Emerg Med

DOI

EISSN

1532-8171

Publication Date

July 2015

Volume

33

Issue

7

Start / End Page

917 / 919

Location

United States

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Male
  • Humans
  • Hospitals, Urban
  • Hospitals, Pediatric
  • HIV Infections
  • Female
  • Emergency Service, Hospital
  • Emergency & Critical Care Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Eckerle, M. D., Namde, M., Holland, C. K., Ruffner, A. H., Hart, K. W., Lindsell, C. J., … Lyons, M. S. (2015). Opportunities for earlier HIV diagnosis in a pediatric ED. Am J Emerg Med, 33(7), 917–919. https://doi.org/10.1016/j.ajem.2015.04.006
Eckerle, Michelle D., Madjimbaye Namde, Carolyn K. Holland, Andrew H. Ruffner, Kim W. Hart, Christopher J. Lindsell, Jennifer L. Reed, and Michael S. Lyons. “Opportunities for earlier HIV diagnosis in a pediatric ED.Am J Emerg Med 33, no. 7 (July 2015): 917–19. https://doi.org/10.1016/j.ajem.2015.04.006.
Eckerle MD, Namde M, Holland CK, Ruffner AH, Hart KW, Lindsell CJ, et al. Opportunities for earlier HIV diagnosis in a pediatric ED. Am J Emerg Med. 2015 Jul;33(7):917–9.
Eckerle, Michelle D., et al. “Opportunities for earlier HIV diagnosis in a pediatric ED.Am J Emerg Med, vol. 33, no. 7, July 2015, pp. 917–19. Pubmed, doi:10.1016/j.ajem.2015.04.006.
Eckerle MD, Namde M, Holland CK, Ruffner AH, Hart KW, Lindsell CJ, Reed JL, Lyons MS. Opportunities for earlier HIV diagnosis in a pediatric ED. Am J Emerg Med. 2015 Jul;33(7):917–919.
Journal cover image

Published In

Am J Emerg Med

DOI

EISSN

1532-8171

Publication Date

July 2015

Volume

33

Issue

7

Start / End Page

917 / 919

Location

United States

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Male
  • Humans
  • Hospitals, Urban
  • Hospitals, Pediatric
  • HIV Infections
  • Female
  • Emergency Service, Hospital
  • Emergency & Critical Care Medicine