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Year : 2008  |  Volume : 26  |  Issue : 2  |  Page : 167-171

Emergency department based HIV screening: An opportunity for early diagnosis in high prevalent areas

Department of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh 500 082, India

Correspondence Address:
V D Teja
Department of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh 500 082
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0255-0857.40535

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The Emergency Medicine Department (EMD) is an ideal place for public health interventions and provides ready access to the health care system, offering a great opportunity for HIV testing and counselling. Between 2003 and 2005, rapid test was requested for 59.39% of 10,752 cases from EMD, where as ELISA was requested for 40.61%. Of the 317 HIV reactive cases, available medical records of 249 were reviewed for epidemiological and clinical information. Nearly 42% of total reactive cases detected in our Institute were from EMD. Three percent (317/10,752) were diagnosed as HIV reactive, 1.52% of the total samples were reactive by rapid test and the other 1.43% by ELISA. Two and half percent (163/6386) of those who had rapid testing and 3.53% (154/4366) who had ELISA testing, were identified as HIV reactive. All these cases were diagnosed within a mean EMD stay of 2.5 days. Eighty-five percent of HIV reactive individuals were unaware of their reactive status. Additional 53 cases of asymptomatic spouses were diagnosed as HIV reactive, thus making it possible to seek early treatment for HIV infection. The study emphasizes the importance of offering HIV testing to all patients who present to emergency department.


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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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