Richard W. Sattin|James A. Wilde|Arin Freeman|Kelly M. Miller|James W. Dias
Rapid HIV Testing in a Southeastern Emergency Department Serving a Semiurban-Semirural Adolescent and Adult Population
Augusta University|Augusta University|Augusta University|Augusta University Health|Augusta University Health
determine feasibility yield universal optout hiv screening among adolescents adults southeastern emergency department ed serving semiurbansemirural populationindividuals aged 13 64 years visited ed specified hours received oraquick rapid hiv test administered trained counselors opt western blot used confirm reactive results patients excluded history hiv tested within past year physically mentally incapacitated understand right opt speak english spanish basic demographic information analyzed using standard descriptive statistics measures diagnostic test performance calculated valid testsfrom march 2008 august 2009 91 n8493 eligible patients accepted testing results valid 41 reactive results 35 confirmed hiv positive 2 indeterminate western blot 4 false positive blacks accounted largest percentage 065 newly detected infections percentage among black men 1 twice percentage among black women 042 rapidtest specificity estimated 9995 95 confidence interval 9988 9998 nearly 75 patients confirmed hiv positive kept first hiv clinic appointmenthigh rates acceptance testing ed linkage hiv care adolescents adults newly detected infection achieved using optout testing trained hiv counselors