Open AccessRandomized Comparison of Universal and Targeted HIV Screening in the Emergency Department
Author(s) -
Michael S. Lyons,
Christopher J. Lindsell,
Andrew H. Ruffner,
Declan Wayne,
Kimberly W. Hart,
Matthew Sperling,
Alexander T. Trott,
Carl J. Fichtenbaum
Publication year - 2013
Publication title -
journal of acquired immune deficiency syndromes
Language(s) - English
Resource type - Journals
eISSN - 1944-7884
pISSN - 1525-4135
DOI - 10.1097/qai.0b013e3182a21611
Subject(s) - medicine , seroprevalence , emergency department , referral , confidence interval , hiv screening , randomized controlled trial , universal precautions , human immunodeficiency virus (hiv) , pediatrics , family medicine , men who have sex with men , immunology , serology , syphilis , psychiatry , antibody
Universal HIV screening is recommended but challenging to implement. Selectively targeting those at risk is thought to miss cases, but previous studies are limited by narrow risk criteria, incomplete implementation, and absence of direct comparisons. We hypothesized that targeted HIV screening, when fully implemented and using maximally broad risk criteria, could detect nearly as many cases as universal screening with many fewer tests.