Oral Presentation 2002 National STD Prevention Conference San Diego, California March 6, 2002 Presenting Author: Karen Kroc (312) 572-4709

Slides:

Advertisements

Similar presentations

HIV Counseling, Testing and Referral (CTR) Services at Boston Medical Center Vanessa J. Sasso, MSW Manager, HIV CTR Program Center for HIV/AIDS Care and.

Advertisements

Process Map template Bob Badgett.

Increasing the predictive value of clinic- based rapid HIV antibody screening using oral fluid and whole blood testing in 10 NYC STD clinics, New York.

Implementing a Laboratory-Based Rapid HIV Testing Algorithm using Two Different Test Kits in a Hospital Emergency Department Jason S. Haukoos 1, MD, MSc,

A&E HIV Testing Pilot St George’s Hospital David Cox.

Rapid HIV Testing and Its Role in Advancing HIV Prevention: 2004 Update Bernard M. Branson, M.D. Chief, Lab Determinants and Diagnostics Section Centers.

Implementing a Gonorrhea and Chlamydia Screening Program in Philadelphia Public High Schools Melinda Salmon Philadelphia Department of Public Health.

Performance of Bio-Rad Genetic Systems HIV-1/HIV-2 Plus O EIA Followed by Multispot or OraQuick Advance in a Dual Immunoassay HIV Testing Strategy Laura.

Evaluation of HIV Rapid Diagnostic Devices National STD Prevention Conference San Diego, CA 6 March 2002 Jennifer A. Malia, MS, MT WRAIR.

Rapid HIV Testing: 2005 Update Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Division of HIV/AIDS Prevention.

CDC Recommendations for HIV Testing of Adults and Adolescents Christina Price, MPH Delta Region AIDS Education and Training Center.

Version 11Page 1 of 6 Improving Identification of Patients Infected with HIV Using Rapid Testing in the Emergency Department: A Systems-Based Approach.

Implementing screening for acute HIV infection in STD clinics already using rapid HIV antibody testing, New York City, 2007 Kathleen D. Gallagher, MPH.

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

Increasing Our Reach through Rapid HIV Testing Bernard M. Branson, M.D. Chief, Lab Determinants and Diagnostics Section Centers for Disease Control and.

Rapid HIV Testing in an Emergency Department Cook County Bureau of Health Services Chicago, Illinois Centers for Disease Control and Prevention (Cooperative.

Can a second rapid HIV test discriminate false positives as effectively as a Western Blot? The NJ Experience Evan M. Cadoff, MD Robert Wood Johnson Medical.

THE CORE STUDY COMPARING TWO STRATEGIES FOR ENROLLING HIV-INFECTED PREGNANT WOMEN FROM ANTENATAL CARE TO CARE AND TREATMENT SERVICES IN CAMEROON: CONTINUUM.

Poster Presentation 40th Annual Meeting of IDSA Chicago, Illinois October 26, 2002 Presenting Author: Sabrina Kendrick, MD (312)

HIV INTERVENTION FOR PROVIDERS (HIP) Principal Investigators:  Carol Dawson Rose, RN, Ph.D. and Grant Colfax, MD. Co-Investigators:  Cynthia Gomez, Ph.D.,

MHRP  The views expressed are those of the authors and should not be construed to represent the positions of the U.S. Army or the Department of Defense.

RVIPP Regional Meeting June 23-26, 2009 Indiana State Report

Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV, STD, and TB Prevention.

Enhanced Syphilis Surveillance in Baltimore Scott Tulloch Maryland State Department of Health and Mental Hygiene.

Economic evaluation of the HIV counseling and testing program at Hampden County Correction Center (HCCC) Beena Varghese, PhD Division of HIV/AIDS Prevention,

Implementing Rapid HIV Testing in New York State Mara San Antonio-Gaddy Director Bureau of Direct Program Operations NYSDOH, AIDS Institute.

Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV, STD, and TB Prevention.

HIV Screening and Women’s Health Health Care Education & Training, Inc. Originally developed by: Section 5: Test Options.

Rapid HIV Testing: 2003 Update Bernard M. Branson, M.D. Chief, Lab Determinants and Diagnostics Section Centers for Disease Control and Prevention.

Randomized Controlled Trial of HIV Counseling with Rapid and Standard HIV Tests (RESPECT-2) Preliminary results Carol Metcalf 1, Helene Cross 2, Beth Dillon.

Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.

Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV/AIDS, Viral Hepatitis,

Implementing Rapid HIV Testing in the United States Bernard M. Branson, M.D. Centers for Disease Control and Prevention Overview and Background.

Rapid Cycle Improvement Model Applied To Chlamydial Screening in Teens A Partnership Between: Kaiser Permanente Northern California & University of California,

HIV Screening in an Urban Emergency Department The Highland Hospital Experience Douglas White, MD Alameda County Medical Center - Highland Hospital Oakland,

Use of Network Analysis During a Tuberculosis Investigation Outbreak Investigation Section Surveillance and Epidemiology Branch Division of Tuberculosis.

Universal HIV Testing Closing the Gap Peter A. Leone, MD Associate Professor of Medicine University of North Carolina Medical Director, NC HIV/STD Prevention.

Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Division of HIV/AIDS Prevention National Center for HIV/AIDS, Viral Hepatitis, STD,

Implementing a Rapid HIV Testing Guideline for L&D NNEPQIN April 30, 2007.

ORAQUICK RAPID HIV TEST Medical Center of Louisiana Cynthia Eicher, MHS MT(ASCP)SBB Denise Friloux, RN, BSN, CIC.

Provider knowledge of California confidentiality laws: Associations with self-confidence and training Kapphahn C, MD, MPH 1, Rao S, MS, MPH 2, Jesser C,

The Impact of Introducing “Express Visits” for Asymptomatic Persons Seeking STD Services in a Busy Urban STD Clinic System, Borrelli J 1, Paneth-Pollak.

Increasing the Efficiency of STI Clinics by Tailoring Services Based on a Risk Triage System Julie A. Subiadur, BSN, CCRC BC Brandy Mitchell, RN Dean McEwen.

1 TITLE X FAMILY PLANNING/HIV INTEGRATION PROJECT Opt Out Process Michael Brannon M.S. HIV/STD Prevention Program Manager (713)

SSuN: MSM prevalence monitoring and HIV Testing in STD Clinics Kristen Mahle & Lori Newman SSuN Call #3 Oct 30, 2008.

Routine Opt-Out HIV Testing Texas STD Clinics James H. Lee, Senior Public Health Advisor HIV/STD Program Texas Department of State Health Services.

Introduction to OraQuick Rapid HIV Testing William F. Ryan Community Health Center School Based Health Program.

Learning Well Evaluation Academic Year Indiana University Bowen Research Center Terrell W. Zollinger, DrPH Robert M. Saywell, Jr., PhD, MPH Jennifer.

HIV Testing and Diagnosis of Emergency Department Patients New Jersey, Charlotte Sadashige, MSS * ; Sindy Paul, MD, MPH * ; Eugene Martin, PhD.

HIV Testing in Medical Settings Mark Thrun, MD Denver Public Health

Learning Well Evaluation Academic Year Indiana University Bowen Research Center Terrell W. Zollinger, DrPH Robert M. Saywell, Jr., PhD, MPH Jennifer.

Streamlined HIV Screening in a Municipal STI Clinic Kees Rietmeijer, MD, PhD Denver Public Health Department 2006 National STD Prevention Conference Jacksonville,

HIV Testing in Acute Care Settings Rich Rothman, MD, PhD, FACEP CDC, DHHS, OraSure Technologies, Abbott  Historical.

Transition to the New CDC Recommendations: Putting it into Practice Shelley Miller, MS TRAINING 3, Family Planning Council June 14, 2007 OPA HIV Grantee.

ABSTRACT Purpose: Point-of-care rapid HIV testing is a new way to diagnose HIV disease. The New Jersey Department of Health and Senior Services Division.

Bernard M. Branson, M.D. Associate Director for Laboratory Diagnostics Divisions of HIV/AIDS Prevention National Center for HIV, STD, and TB Prevention.

Integrating Hepatitis Screening and Immunizations in the STD clinic Palm Beach County, Florida National Immunization Conference March 8, 2007 Savita Kumar.

IPP Infrastructure Measures of Effectiveness: Preliminary Data and Next Steps Kelly Morrison Opdyke, MPH Region II Infertility Prevention Project Cicatelli.

ANALYZING THE INTEGRATION OF HIV TESTING INTO THE FLOW OF FAMILY PLANNING CLINICS JANUARY 29, 2009 Rapid Testing & Clinic Flow 1.

CONCLUSIONS New Jersey’s Emergency Department HIV testing sites report higher seroprevalence than non-ED testing sites. Since University Hospital began.

Developing and Improving a Fast Track Services Program in Chicago STD Clinics William Wong, MD Division of STD/HIV/AIDS Chicago Department of Public Health.

What is the Clinical Laboratory?

The CARE Initiative New Positives Known Positives

Illinois Department of Public Health

Exam Room Health Center Health Center Front Desk Waiting Room

Community and Primary Care Grants

AIDS in the United States

Provider Counseling for Immunizations in Primary Care Settings

Presentation transcript:

Oral Presentation 2002 National STD Prevention Conference San Diego, California March 6, 2002 Presenting Author: Karen Kroc (312)

Rapid HIV Testing in an Emergency Department Cook County Bureau of Health Services Chicago, Illinois Centers for Disease Control and Prevention (Cooperative Agreement #CCU516455)

Study Objectives Determine if rapid HIV testing (RT) is feasible and acceptable in a busy urban hospital emergency department (ED) Assess patient receipt of results Evaluate patient entry into care following a positive rapid HIV test

Study Methods Eligibility criteria –Age –Informed consent –Study staff on site Counseling –Pre & post-test script based on CDC 3/98 recommendation –HIV+ pts scheduled for evaluation when receive results Rapid test device –SUDS HIV- 1 Test, Abbott/Murex –Positive SUDS tests repeated in duplicate –All SUDS tests supplemented with EIA –WB performed on all SUDS+ and EIA+

Cook County Hospital Emergency Department Busiest emergency department in Chicago 120,000 patient visits/year January 2001 conventional HIV testing June 2001 rapid HIV testing

CCH-ED Procedure Conventional HIV Testing (CT) ED providers perform pre-test counsel and obtain informed consent Blood drawn by ED nurse Specimen sent to hospital lab for EIA Patient directed to the CORE Screening Clinic for results in two weeks

Rapid Test Study ED Procedure Three health educators responsible for: Pre-test counseling Obtaining written informed consent Phlebotomy Rapid testing Result/Post-test counseling

Rapid Test Acceptance June – December 2001 Pts approached 5964 Pts eligible 5095 (85%) Pts accepted RT 1365 (27%)

Receipt of results: RT vs CT January – December 2001 Rapid Testing Conventional Testing Pts. tested Pts. received results 1355 / 99.3% 34 / 24% Time to receive results< 2 hours14.5 days

Counseling,Testing, Results Mean times (minutes) Pretest Counsel SUDS Testing Result to PatientTotal SUDS Negative (N=1303) SUDS Positive (N=36)

Entry to Care: RT vs CT January – December 2001 Rapid Testing Conventional Testing Pts. tested Pts. positive 36 (2.6%) 13 (9%) Pts. entered care 30 (83%) 10 (77%) Median days test to visit 13.5 (range 4-113) 26.5 (range )

SUDS Performance N=1365 Sensitivity100.0% Specificity 99.8% PPV 92.3% NPV100.0% Accuracy 99.8%

Conclusions Rapid HIV testing was well received by many patients Point-of-care rapid HIV testing in the ED is feasible Rapid testing increases the number of people who learn their results and may improve entry into care

Rapid HIV Study Robert A. Weinstein, MD, Principal Investigator Sabrina R. Kendrick, MD, Co-Principal Investigator David Withum, Dr.PH, CDC, Co-Investigator Bernard Branson, MD, CDC, Co-Investigator Eileen Couture, DO, Site Investigator Shayle Miller, MD, Site Investigator Rovonda Doty, Health Educator Regina Harden, Health Educator Bernice Wilson, Health Educator Carole Marsh, Data Entry

Rapid Test Acceptance STD Clinic & Cook County Jail CORE STD Clinic # Approach 2641 # Eligible 2018 (76%) # Accept RT 1372 (68%) CCJ Female Intake (75%) 988 (43%)