Titre
HIV Testing Practices by Clinical Service before and after Revised Testing Guidelines in a Swiss University Hospital
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Darling, K.E.
Co-première auteure/Co-premier auteur
Hugli, O.
Auteure/Auteur
Mamin, R.
Auteure/Auteur
Cellerai, C.
Auteure/Auteur
Martenet, S.
Auteure/Auteur
Berney, A.
Auteure/Auteur
Peters, S.
Auteure/Auteur
Du Pasquier, R.A.
Auteure/Auteur
Bodenmann, P.
Auteure/Auteur
Cavassini, M.
Co-dernière auteure/Co-dernier auteur
ISSN
1932-6203
Statut éditorial
Publié
Date de publication
2012
Volume
7
Numéro
6
Première page
e39299
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
OBJECTIVES: To determine 1) HIV testing practices in a 1400-bed university hospital where local HIV prevalence is 0.4% and 2) the effect on testing practices of national HIV testing guidelines, revised in March 2010, recommending Physician-Initiated Counselling and Testing (PICT).
METHODS: Using 2 hospital databases, we determined the number of HIV tests performed by selected clinical services, and the number of patients tested as a percentage of the number seen per service ('testing rate'). To explore the effect of the revised national guidelines, we examined testing rates for two years pre- and two years post-PICT guideline publication.
RESULTS: Combining the clinical services, 253,178 patients were seen and 9,183 tests were performed (of which 80 tested positive, 0.9%) in the four-year study period. The emergency department (ED) performed the second highest number of tests, but had the lowest testing rates (0.9-1.1%). Of inpatient services, neurology and psychiatry had higher testing rates than internal medicine (19.7% and 9.6% versus 8%, respectively). There was no significant increase in testing rates, either globally or in the majority of the clinical services examined, and no increase in new HIV diagnoses post-PICT recommendations.
CONCLUSIONS: Using a simple two-database tool, we observe no global improvement in HIV testing rates in our hospital following new national guidelines but do identify services where testing practices merit improvement. This study may show the limit of PICT strategies based on physician risk assessment, compared to the opt-out approach.
METHODS: Using 2 hospital databases, we determined the number of HIV tests performed by selected clinical services, and the number of patients tested as a percentage of the number seen per service ('testing rate'). To explore the effect of the revised national guidelines, we examined testing rates for two years pre- and two years post-PICT guideline publication.
RESULTS: Combining the clinical services, 253,178 patients were seen and 9,183 tests were performed (of which 80 tested positive, 0.9%) in the four-year study period. The emergency department (ED) performed the second highest number of tests, but had the lowest testing rates (0.9-1.1%). Of inpatient services, neurology and psychiatry had higher testing rates than internal medicine (19.7% and 9.6% versus 8%, respectively). There was no significant increase in testing rates, either globally or in the majority of the clinical services examined, and no increase in new HIV diagnoses post-PICT recommendations.
CONCLUSIONS: Using a simple two-database tool, we observe no global improvement in HIV testing rates in our hospital following new national guidelines but do identify services where testing practices merit improvement. This study may show the limit of PICT strategies based on physician risk assessment, compared to the opt-out approach.
PID Serval
serval:BIB_E065FD76F59C
PMID
Open Access
Oui
Date de création
2012-07-23T08:42:31.651Z
Date de création dans IRIS
2025-05-21T00:55:45Z
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BIB_E065FD76F59C.P001.pdf
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preprint
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789.61 KB
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Adobe PDF
PID Serval
serval:BIB_E065FD76F59C.P001
URN
urn:nbn:ch:serval-BIB_E065FD76F59C4
Somme de contrôle
(MD5):5ea57b4b236dd0476063a6dc514e4622