Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

HIV testing rate increased following recommendation of routine testing of acute medical admissions at Royal Darwin Hospital

Lallenec, Laura M., Currie, Bart J., Baird, Rob W., Pitman, Matthew and Ryder, Nathan (2015). HIV testing rate increased following recommendation of routine testing of acute medical admissions at Royal Darwin Hospital. Sexual Health,12(5):433-438.

Document type: Journal Article
Citation counts:
Google Scholar Search Google Scholar

IRMA ID 11381xPUB74
Title HIV testing rate increased following recommendation of routine testing of acute medical admissions at Royal Darwin Hospital
Author Lallenec, Laura M.
Currie, Bart J.
Baird, Rob W.
Pitman, Matthew
Ryder, Nathan
Journal Name Sexual Health
Publication Date 2015
Volume Number 12
Issue Number 5
ISSN 1448-5028   (check CDU catalogue open catalogue search in new window)
Start Page 433
End Page 438
Total Pages 6
Place of Publication Australia
Publisher C S I R O Publishing
Field of Research MEDICAL AND HEALTH SCIENCES
HERDC Category C1 - Journal Article (DIISR)
Abstract Background: To improve HIV detection, Royal Darwin Hospital implemented a guideline in 2012 recommending routine HIV testing for all adult acute medical admissions. This study aimed to determine the uptake, point prevalence and impact on late diagnosis of HIV screening following guideline implementation.

Methods: Data on the number of HIV tests and number of acute medical admissions over the 8 months prior and post guideline implementation were extracted from hospital databases. A qualitative survey was conducted to ascertain clinician response to routine screening.

Results: Fourteen per cent of admissions were tested post-implementation compared with 5.3% during the implementation period (P < 0.001). HIV prevalence pre-implementation was 1.4% compared with 0.3% following implementation (P < 0.05). The average CD4 count at diagnosis was <200 cells/mm3.

Conclusions: There was a significant increase in HIV testing following guideline implementation; however, the overall testing rate remained low. Routine screening did not increase detection of HIV, and HIV continues to be diagnosed late at Royal Darwin Hospital. Methods for improving understanding of the rationale for routine screening and increased promotion of the guidelines are required to increase testing.
Keywords disease prevalence
guideline implementation
late diagnosis
DOI http://dx.doi.org/10.1071/SH14136   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
Versions
Version Filter Type
Access Statistics: 10 Abstract Views  -  Detailed Statistics
Created: Tue, 26 Jul 2016, 12:44:36 CST