HIV Screening in the Emergency Department: Where Do We Stand?
Director of Clinical Research, Icahn School of Medicine at Mount Sinai, Emergency Medicine, United States
- Corresponding Author:
- Michael Heller
Director of Clinical Research Icahn School of Medicine at Mount Sinai
Emergency Medicine, 16 St. and First Ave New York
New York 10003, United States
Tel: 610 2162919
Received date: February 06, 2016; Accepted date: March 23, 2016; Published date: March 31, 2016
Citation: Heller M (2016) HIV Screening in the Emergency Department: Where Do We Stand? Health Care: Current Reviews 4:162. doi:10.4172/2375-4273.1000162
Copyright: © 2016 Heller M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Recent data from the USA and elsewhere indicating that the number of new HIV/ AIDS cases continues to rise has stimulated state and national efforts to identify patients with undetected HIV infection. Although the use of Emergency Departments (EDs) as a venue for screening remains controversial, the ED has become a major focus of this effort with more than a dozen studies of ED screening for HIV reported in recent years. This review of ED studies published since 2005 summarizes these findings: selection bias in these programs appears common, acceptance of testing varies widely, positivity rates are usually less than 1% and the cost per case found is approximated to be between $1600 to $10,000.