Experiences in implementation of routine human immunodeficiency virus testing in a US tuberculosis clinic
SETTING: Rhode Island Tuberculosis (RI TB) Clinic, The Miriam Hospital, Providence, RI, USA.BACKGROUND: Human immunodeficiency virus (HIV) status is a critical factor in the management of both patients with latent TB infection (LTBI) and active TB. Since 2006, the Centers for Disease Control and Pre...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2012-09, Vol.16 (9), p.1241-1246 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | Gardner, A. Naureckas, C. Beckwith, C. Losikoff, P. Martin, C. Carter, E. J. |
| description | SETTING: Rhode Island Tuberculosis (RI TB) Clinic, The Miriam Hospital, Providence, RI, USA.BACKGROUND: Human immunodeficiency virus (HIV) status is a critical factor in the management of both patients with latent TB infection (LTBI) and active TB. Since 2006, the Centers for Disease
Control and Prevention has recommended routine, opt-out HIV testing in all health care settings, including TB clinics. However, implementation of HIV testing in LTBI patients has been limited.DESIGN: A policy for HIV assessment of all new patients was instituted at the RI TB Clinic. Patients
who reported no HIV testing in the preceding year were offered opt-out HIV testing. Patient records (June 2010-June 2011) were retrospectively reviewed. Structured nursing interviews assessed staff acceptance.RESULTS: A total of 821 (77.5%) first-visit TB patients underwent HIV status
assessment: 96.3% of those not tested in the previous year agreed to testing; 65.9% of tests were performed at point of care. There was one new HIV diagnosis.CONCLUSION: Implementing routine opt-out HIV testing in the RI TB Clinic is feasible, with high staff acceptance rates and low patient
refusal rates. Perceived health systems barriers can be overcome. Incorporating opt-out HIV testing for LTBI patients expands testing opportunities to individuals unaware of their HIV status, and can identify HIV-infected patients early in the course of infection. |
| doi_str_mv | 10.5588/ijtld.11.0628 |
| format | Article |
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Control and Prevention has recommended routine, opt-out HIV testing in all health care settings, including TB clinics. However, implementation of HIV testing in LTBI patients has been limited.DESIGN: A policy for HIV assessment of all new patients was instituted at the RI TB Clinic. Patients
who reported no HIV testing in the preceding year were offered opt-out HIV testing. Patient records (June 2010-June 2011) were retrospectively reviewed. Structured nursing interviews assessed staff acceptance.RESULTS: A total of 821 (77.5%) first-visit TB patients underwent HIV status
assessment: 96.3% of those not tested in the previous year agreed to testing; 65.9% of tests were performed at point of care. There was one new HIV diagnosis.CONCLUSION: Implementing routine opt-out HIV testing in the RI TB Clinic is feasible, with high staff acceptance rates and low patient
refusal rates. Perceived health systems barriers can be overcome. Incorporating opt-out HIV testing for LTBI patients expands testing opportunities to individuals unaware of their HIV status, and can identify HIV-infected patients early in the course of infection.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.11.0628</identifier><identifier>PMID: 22793872</identifier><language>eng</language><publisher>Paris, France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Adult ; Attitude of Health Personnel ; Bacterial diseases ; Barriers ; Biological and medical sciences ; Coinfection ; Female ; Health Knowledge, Attitudes, Practice ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - therapy ; Human bacterial diseases ; Human immunodeficiency virus ; Humans ; Implementation ; Infectious diseases ; Interviews as Topic ; Latent Tuberculosis - diagnosis ; Latent Tuberculosis - epidemiology ; Latent Tuberculosis - therapy ; LTBI ; Male ; Mass Screening - methods ; Medical sciences ; Middle Aged ; Mycobacterium ; Outpatient Clinics, Hospital ; Patient Acceptance of Health Care ; Perception ; Pneumology ; Point-Of-Care ; Point-of-Care Systems ; Predictive Value of Tests ; Program Development ; Program Evaluation ; Referral and Consultation ; Retrospective Studies ; Rhode Island - epidemiology ; Time Factors ; Tuberculosis - diagnosis ; Tuberculosis - epidemiology ; Tuberculosis - therapy ; Tuberculosis and atypical mycobacterial infections ; Uninsured</subject><ispartof>The international journal of tuberculosis and lung disease, 2012-09, Vol.16 (9), p.1241-1246</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-2d4b8a52397b6d8b4b77cc09d408e34badd391cb25852da15a5c440bcf8ccbdb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26291036$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22793872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gardner, A.</creatorcontrib><creatorcontrib>Naureckas, C.</creatorcontrib><creatorcontrib>Beckwith, C.</creatorcontrib><creatorcontrib>Losikoff, P.</creatorcontrib><creatorcontrib>Martin, C.</creatorcontrib><creatorcontrib>Carter, E. J.</creatorcontrib><title>Experiences in implementation of routine human immunodeficiency virus testing in a US tuberculosis clinic</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Rhode Island Tuberculosis (RI TB) Clinic, The Miriam Hospital, Providence, RI, USA.BACKGROUND: Human immunodeficiency virus (HIV) status is a critical factor in the management of both patients with latent TB infection (LTBI) and active TB. Since 2006, the Centers for Disease
Control and Prevention has recommended routine, opt-out HIV testing in all health care settings, including TB clinics. However, implementation of HIV testing in LTBI patients has been limited.DESIGN: A policy for HIV assessment of all new patients was instituted at the RI TB Clinic. Patients
who reported no HIV testing in the preceding year were offered opt-out HIV testing. Patient records (June 2010-June 2011) were retrospectively reviewed. Structured nursing interviews assessed staff acceptance.RESULTS: A total of 821 (77.5%) first-visit TB patients underwent HIV status
assessment: 96.3% of those not tested in the previous year agreed to testing; 65.9% of tests were performed at point of care. There was one new HIV diagnosis.CONCLUSION: Implementing routine opt-out HIV testing in the RI TB Clinic is feasible, with high staff acceptance rates and low patient
refusal rates. Perceived health systems barriers can be overcome. Incorporating opt-out HIV testing for LTBI patients expands testing opportunities to individuals unaware of their HIV status, and can identify HIV-infected patients early in the course of infection.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Bacterial diseases</subject><subject>Barriers</subject><subject>Biological and medical sciences</subject><subject>Coinfection</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - therapy</subject><subject>Human bacterial diseases</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Implementation</subject><subject>Infectious diseases</subject><subject>Interviews as Topic</subject><subject>Latent Tuberculosis - diagnosis</subject><subject>Latent Tuberculosis - epidemiology</subject><subject>Latent Tuberculosis - therapy</subject><subject>LTBI</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycobacterium</subject><subject>Outpatient Clinics, Hospital</subject><subject>Patient Acceptance of Health Care</subject><subject>Perception</subject><subject>Pneumology</subject><subject>Point-Of-Care</subject><subject>Point-of-Care Systems</subject><subject>Predictive Value of Tests</subject><subject>Program Development</subject><subject>Program Evaluation</subject><subject>Referral and Consultation</subject><subject>Retrospective Studies</subject><subject>Rhode Island - epidemiology</subject><subject>Time Factors</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - therapy</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Uninsured</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAURi0EomVgyRZ5g9RNBl8nTuwlKi0gVUIIurb8SvEocQY_Ksqvx5kZYIWEN9eSj79r34PQSyBbxjh_43d5sluALekpf4TOgQNrBkHJ47ondGjaAcQZepbSjhAKAMNTdEbpIFo-0HPkr37sXfQuGJewD9jP-8nNLmSV_RLwMuK4lOyDw9_KrNbzuYTFutGb9dIDvvexJJxdqtDdmqDw7Reci3bRlGlJPmEz-eDNc_RkVFNyL051g26vr75efmhuPr3_ePn2pjGdgNxQ22muGG3FoHvLdaeHwRgibEe4azutrG0FGE0ZZ9QqYIqZriPajNwYbXW7QRfH3H1cvpf6Ljn7ZNw0qeCWkiSQXoDoWt7-B9pSzgWp7AY1R9TEJaXoRrmPflbxoUJyFSEPIiSAXEVU_tUpuujZ2T_078lX4PUJUMmoaYwqGJ_-cj0VtX1fuc9Hro531SJ3S4mhDlB6I31Rh6bV86pZ3kMfhKTVM-GUSehYL6srVaYss4ry7qdMlNTMd__KPAYe_0IJUEkOC_rThgipYq61xvwCGsHEww</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Gardner, A.</creator><creator>Naureckas, C.</creator><creator>Beckwith, C.</creator><creator>Losikoff, P.</creator><creator>Martin, C.</creator><creator>Carter, E. J.</creator><general>International Union Against Tuberculosis and Lung Disease</general><general>International Union against Tuberculosis and Lung Disease</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QL</scope><scope>7T5</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope></search><sort><creationdate>20120901</creationdate><title>Experiences in implementation of routine human immunodeficiency virus testing in a US tuberculosis clinic</title><author>Gardner, A. ; Naureckas, C. ; Beckwith, C. ; Losikoff, P. ; Martin, C. ; Carter, E. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-2d4b8a52397b6d8b4b77cc09d408e34badd391cb25852da15a5c440bcf8ccbdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Bacterial diseases</topic><topic>Barriers</topic><topic>Biological and medical sciences</topic><topic>Coinfection</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - therapy</topic><topic>Human bacterial diseases</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Implementation</topic><topic>Infectious diseases</topic><topic>Interviews as Topic</topic><topic>Latent Tuberculosis - diagnosis</topic><topic>Latent Tuberculosis - epidemiology</topic><topic>Latent Tuberculosis - therapy</topic><topic>LTBI</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycobacterium</topic><topic>Outpatient Clinics, Hospital</topic><topic>Patient Acceptance of Health Care</topic><topic>Perception</topic><topic>Pneumology</topic><topic>Point-Of-Care</topic><topic>Point-of-Care Systems</topic><topic>Predictive Value of Tests</topic><topic>Program Development</topic><topic>Program Evaluation</topic><topic>Referral and Consultation</topic><topic>Retrospective Studies</topic><topic>Rhode Island - epidemiology</topic><topic>Time Factors</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis - epidemiology</topic><topic>Tuberculosis - therapy</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Uninsured</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gardner, A.</creatorcontrib><creatorcontrib>Naureckas, C.</creatorcontrib><creatorcontrib>Beckwith, C.</creatorcontrib><creatorcontrib>Losikoff, P.</creatorcontrib><creatorcontrib>Martin, C.</creatorcontrib><creatorcontrib>Carter, E. J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gardner, A.</au><au>Naureckas, C.</au><au>Beckwith, C.</au><au>Losikoff, P.</au><au>Martin, C.</au><au>Carter, E. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experiences in implementation of routine human immunodeficiency virus testing in a US tuberculosis clinic</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>16</volume><issue>9</issue><spage>1241</spage><epage>1246</epage><pages>1241-1246</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Rhode Island Tuberculosis (RI TB) Clinic, The Miriam Hospital, Providence, RI, USA.BACKGROUND: Human immunodeficiency virus (HIV) status is a critical factor in the management of both patients with latent TB infection (LTBI) and active TB. Since 2006, the Centers for Disease
Control and Prevention has recommended routine, opt-out HIV testing in all health care settings, including TB clinics. However, implementation of HIV testing in LTBI patients has been limited.DESIGN: A policy for HIV assessment of all new patients was instituted at the RI TB Clinic. Patients
who reported no HIV testing in the preceding year were offered opt-out HIV testing. Patient records (June 2010-June 2011) were retrospectively reviewed. Structured nursing interviews assessed staff acceptance.RESULTS: A total of 821 (77.5%) first-visit TB patients underwent HIV status
assessment: 96.3% of those not tested in the previous year agreed to testing; 65.9% of tests were performed at point of care. There was one new HIV diagnosis.CONCLUSION: Implementing routine opt-out HIV testing in the RI TB Clinic is feasible, with high staff acceptance rates and low patient
refusal rates. Perceived health systems barriers can be overcome. Incorporating opt-out HIV testing for LTBI patients expands testing opportunities to individuals unaware of their HIV status, and can identify HIV-infected patients early in the course of infection.</abstract><cop>Paris, France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>22793872</pmid><doi>10.5588/ijtld.11.0628</doi><tpages>6</tpages></addata></record> |
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| ispartof | The international journal of tuberculosis and lung disease, 2012-09, Vol.16 (9), p.1241-1246 |
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| subjects | Adult Attitude of Health Personnel Bacterial diseases Barriers Biological and medical sciences Coinfection Female Health Knowledge, Attitudes, Practice HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - therapy Human bacterial diseases Human immunodeficiency virus Humans Implementation Infectious diseases Interviews as Topic Latent Tuberculosis - diagnosis Latent Tuberculosis - epidemiology Latent Tuberculosis - therapy LTBI Male Mass Screening - methods Medical sciences Middle Aged Mycobacterium Outpatient Clinics, Hospital Patient Acceptance of Health Care Perception Pneumology Point-Of-Care Point-of-Care Systems Predictive Value of Tests Program Development Program Evaluation Referral and Consultation Retrospective Studies Rhode Island - epidemiology Time Factors Tuberculosis - diagnosis Tuberculosis - epidemiology Tuberculosis - therapy Tuberculosis and atypical mycobacterial infections Uninsured |
| title | Experiences in implementation of routine human immunodeficiency virus testing in a US tuberculosis clinic |
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