HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs
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...
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| Veröffentlicht in: | PloS one 2021-05, Vol.16 (5), p.e0251756-e0251756 |
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| creator | Faryar, Kiran A Ancona, Rachel M Reau, Zachary Lyss, Sheryl B Braun, Robert S Rademaker, Todd Sickles, Ryane K Lyons, Michael S |
| description | 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.
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.
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.
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. |
| doi_str_mv | 10.1371/journal.pone.0251756 |
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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.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0251756</identifier><identifier>PMID: 34003855</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Antibodies ; Biology and Life Sciences ; Diagnosis ; Disease control ; Drug use ; Editing ; Electronic health records ; Electronic medical records ; Emergency medical care ; Emergency medical services ; Emergency service ; Epidemics ; Evaluation ; Health risks ; Health surveillance ; Hepatitis ; HIV ; HIV infection ; HIV testing ; Hospitals ; Human immunodeficiency virus ; Infections ; Laboratories ; Medical diagnosis ; Medical personnel ; Medical tests ; Medicine ; Medicine and health sciences ; Narcotics ; Overdose ; Parallel programming ; Patients ; Population ; Prevention ; Public health ; Sickles, Michael ; Signs and symptoms ; Surveillance</subject><ispartof>PloS one, 2021-05, Vol.16 (5), p.e0251756-e0251756</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Faryar et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Faryar et al 2021 Faryar et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-5bc069b44b4d6b17a0e9165ac34af7e21f72a24e4627fa257da5ac9ce83a32923</citedby><cites>FETCH-LOGICAL-c692t-5bc069b44b4d6b17a0e9165ac34af7e21f72a24e4627fa257da5ac9ce83a32923</cites><orcidid>0000-0001-8466-9796</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130938/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8130938/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34003855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Faryar, Kiran A</creatorcontrib><creatorcontrib>Ancona, Rachel M</creatorcontrib><creatorcontrib>Reau, Zachary</creatorcontrib><creatorcontrib>Lyss, Sheryl B</creatorcontrib><creatorcontrib>Braun, Robert S</creatorcontrib><creatorcontrib>Rademaker, Todd</creatorcontrib><creatorcontrib>Sickles, Ryane K</creatorcontrib><creatorcontrib>Lyons, Michael S</creatorcontrib><title>HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
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.
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.
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.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Antibodies</subject><subject>Biology and Life Sciences</subject><subject>Diagnosis</subject><subject>Disease control</subject><subject>Drug use</subject><subject>Editing</subject><subject>Electronic health records</subject><subject>Electronic medical records</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency service</subject><subject>Epidemics</subject><subject>Evaluation</subject><subject>Health risks</subject><subject>Health surveillance</subject><subject>Hepatitis</subject><subject>HIV</subject><subject>HIV infection</subject><subject>HIV testing</subject><subject>Hospitals</subject><subject>Human immunodeficiency 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detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs</title><author>Faryar, Kiran A ; Ancona, Rachel M ; Reau, Zachary ; Lyss, Sheryl B ; Braun, Robert S ; Rademaker, Todd ; Sickles, Ryane K ; Lyons, Michael S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-5bc069b44b4d6b17a0e9165ac34af7e21f72a24e4627fa257da5ac9ce83a32923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Antibodies</topic><topic>Biology and Life Sciences</topic><topic>Diagnosis</topic><topic>Disease control</topic><topic>Drug use</topic><topic>Editing</topic><topic>Electronic health records</topic><topic>Electronic medical records</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency 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Robert S</au><au>Rademaker, Todd</au><au>Sickles, Ryane K</au><au>Lyons, Michael S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-05-18</date><risdate>2021</risdate><volume>16</volume><issue>5</issue><spage>e0251756</spage><epage>e0251756</epage><pages>e0251756-e0251756</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
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.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34003855</pmid><doi>10.1371/journal.pone.0251756</doi><tpages>e0251756</tpages><orcidid>https://orcid.org/0000-0001-8466-9796</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome AIDS Antibodies Biology and Life Sciences Diagnosis Disease control Drug use Editing Electronic health records Electronic medical records Emergency medical care Emergency medical services Emergency service Epidemics Evaluation Health risks Health surveillance Hepatitis HIV HIV infection HIV testing Hospitals Human immunodeficiency virus Infections Laboratories Medical diagnosis Medical personnel Medical tests Medicine Medicine and health sciences Narcotics Overdose Parallel programming Patients Population Prevention Public health Sickles, Michael Signs and symptoms Surveillance |
| title | HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs |
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