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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Karen Kroc, BS1, Sabrina R. Kendrick, MD2, Eileen Couture, DO3, Shayle Miller, MD4, David Withum, DrPH5, Robert J Rydman, PhD3, Bernard Branson, MD5, and Robert A. Weinstein, MD6. (1) The CORE Center, 2020 W. Harrison Street, Chicago, IL 60612, 312-572-4709, kkroc@corecenter.org, (2) Department of Infectious Disease, Cook County Hospital, The CORE Center, Rush Medical College, 1835 West Harrison Street, Chicago, IL 60612, (3) Department of Emergency Medicine, Cook County Hospital/Rush University, 1900 W. Polk St 10th flr, Chicago, IL 60612, (4) Department of Emergency Medicine, Cook County Hospital, 1900 W. Polk Street, Floor 10, Chicago, IL 60612, (5) CDC, 1600 Clifton Rd, Atlanta, GA 60333, (6) Department of Infectious Diseases, Cook County Hospital, CORE Center, Rush Medical College, 1835 W. Harrison Street, Chicago, IL 60612
Background: The Cook County Hospital ED began offering conventional HIV counseling and testing (CT) in January 2001. Though June 2001, 77 patients (pts) received CT. Previously the ED referred pts to ambulatory clinics for CT. Rapid HIV testing (RT) was introduced in the ED in June 2001.Methods: SUDS® testing was offered 6/19/01 - 12/31/01 to pts age 18 – 60. All specimens received a subsequent EIA. Known HIV pts were excluded. Health educators were responsible for HIV counseling, phlebotomy, and RT. Upon receipt of RT results all positive pts were scheduled for evaluation at our retroviral clinic (CORE).Results: 5964 pts were approached. Of 5095 (85%) eligibles, 1365 (27%) were RT and 1356 (99.8%) received results before discharge. HIV infections were identified in 36 (2.6%)-- 7 females and 29 males, with a mean age of 37.2. Twenty-six (72%) reported being heterosexual; 21 reported no known risk factors. Previous HIV testing was reported by 21/36 (58%). 30/36 (83%) reported for evaluation at CORE, 18 (50%) as scheduled, 12 (33%) as rescheduled. Median time from RT to CORE visit was 13.5 days (range 4-113 days). HIV status: CD4 (cells/mm3): median 116, with 21 <350; viral load (copies/ml): median 59, 413, range <50-498,534.Conclusions: ED pts may be unaware of their HIV serostatus and often accept testing if offered. Point of care RT in the ED is feasible and provides pts timely results. Entry into HIV care may be facilitated when testing, results, and referral to care are all provided during one visit.
Learning Objectives:
Keywords: Emergency Department/Room,
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.