Published in:
Open Access
01-09-2009 | Review Article
Rapid HIV testing program implementation: lessons from the emergency department
Authors:
Christian Arbelaez, Brian Block, Elena Losina, Elizabeth A. Wright, William M. Reichmann, Regina Mikulinsky, Jessica D. Solomon, Matthew M. Dooley, Rochelle P. Walensky
Published in:
International Journal of Emergency Medicine
|
Issue 3/2009
Login to get access
Abstract
Background
The US Centers for Disease Control and Prevention (CDC) guidelines and the World Health Organization (WHO) both recommend HIV testing in health-care settings. However, neither organization provides prescriptive details regarding how these recommendations should be adapted into clinical practice in an emergency department.
Methods
We have implemented an HIV-testing program in the ED of a major academic medical center within the scope of the Universal Screening for HIV Infection in the Emergency Room (USHER) Trial—a randomized clinical trial evaluating the feasibility and cost-effectiveness of HIV screening in this setting.
Results and conclusion
Drawing on our collective experiences in establishing programs domestically and internationally, we offer a practical framework of lessons learned so that others poised to embark on such HIV testing programs may benefit from our experiences.