scholarly journals Rapid HIV testing increases the rate of HIV detection in men who have sex with men: using rapid HIV testing in a primary care clinic

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 89 ◽  
Author(s):  
Beng Eu ◽  
Norman Roth ◽  
Mark Stoové ◽  
Mark O'Reilly ◽  
Edward Clarke

Rapid HIV testing was approved in Australia in December 2012. Data was collected to describe the early experience of using rapid testing in Australia but as the information was collected, the authors noted that there appeared to be a high rate of HIV diagnoses amongst rapid testers. Further analysis confirmed this impression, when the rate was compared to a baseline rate of HIV diagnoses over the 32 months before the rapid testing started (4.1% vs 1.3%).


2015 ◽  
Vol 56 (2) ◽  
pp. S66-S67
Author(s):  
Krishna K. Upadhya ◽  
Noah Wheeler ◽  
Marie-Sophie Tawe ◽  
Kathy Tomaszewski ◽  
Renata Sanders ◽  
...  




2013 ◽  
Vol 178 (4) ◽  
pp. e483-e488 ◽  
Author(s):  
Monisha Arya ◽  
Amber L. Bush ◽  
Michael A. Kallen ◽  
Maria C. Rodriguez-Barradas ◽  
Thomas P. Giordano


2009 ◽  
Vol 24 (12) ◽  
pp. 1338-1340 ◽  
Author(s):  
Robert L. Cook ◽  
Gail Berkenblit


2014 ◽  
Vol 19 (12) ◽  
pp. 1411-1419 ◽  
Author(s):  
Kate Clouse ◽  
Colleen F. Hanrahan ◽  
Jean Bassett ◽  
Matthew P. Fox ◽  
Ian Sanne ◽  
...  


Author(s):  
Katherine Ellen Baumann ◽  
Vagish Hemmige ◽  
Michael Anthony Kallen ◽  
Richard Lewis Street ◽  
Thomas Peter Giordano ◽  
...  

Physicians are not routinely offering patients HIV testing, partly due to perceived patient discomfort with discussing HIV. This study assessed patients’ comfort level and whether physician recommendations can overcome any discomfort that does exist. In a publicly funded primary care clinic, we administered a survey exploring patient facilitators to HIV testing, with 266 patients answering the 2 main survey questions of interest. Most participants wanted their physician to offer HIV testing (n = 175; 65.8%). Even among participants who did not want their physician to offer HIV testing (n = 91), over half (n = 54; 59.3%) reported they would “likely” or “very likely” accept HIV testing if their physician recommended it. Based on our findings, not only are negative attitudes about HIV testing among patients uncommon but physician recommendations may be able to convince patients to receive HIV testing in spite of patients stating they do not want the test.



PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 93A-93A
Author(s):  
Lwbba Chait ◽  
Angeliki Makri ◽  
Rawan Nahas ◽  
Gwen Raphan


2001 ◽  
Author(s):  
Jerald Rumph


2021 ◽  
Vol 12 ◽  
pp. 215013272110350
Author(s):  
Pasitpon Vatcharavongvan ◽  
Viwat Puttawanchai

Background Most older adults with comorbidities in primary care clinics use multiple medications and are at risk of potentially inappropriate medications (PIMs) prescription. Objective This study examined the prevalence of polypharmacy and PIMs using Thai criteria for PIMs. Methods This study was a retrospective cross-sectional study. Data were collected from electronic medical records in a primary care clinic in 2018. Samples were patients aged ≥65 years old with at least 1 prescription. Variables included age, gender, comorbidities, and medications. The list of risk drugs for Thai elderly version 2 was the criteria for PIMs. The prevalence of polypharmacy and PIMs were calculated, and multiple logistic regression was conducted to examine associations between variables and PIMs. Results Of 2806 patients, 27.5% and 43.7% used ≥5 medications and PIMs, respectively. Of 10 290 prescriptions, 47% had at least 1 PIM. The top 3 PIMs were anticholinergics, proton-pump inhibitors, and nonsteroidal anti-inflammatory drugs (NSAIDs). Polypharmacy and dyspepsia were associated with PIM prescriptions (adjusted odds ratio 2.48 [95% confident interval or 95% CI 2.07-2.96] and 3.88 [95% CI 2.65-5.68], respectively). Conclusion Prescriptions with PIMs were high in the primary care clinic. Describing unnecessary medications is crucial to prevent negative health outcomes from PIMs. Computer-based clinical decision support, pharmacy-led interventions, and patient-specific drug recommendations are promising interventions to reduce PIMs in a primary care setting.



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