Rapid HIV testing experience at Veterans Affairs North Texas Health Care System's Homeless Stand Downs

Abstract Background During the COVID-19 pandemic, rapid Infectious Diseases (ID) consultation has been required to answer novel questions regarding SARS-CoV-2 testing and infection prevention. We sought to evaluate the utility of e-consults to triage and provide rapid ID recommendations to providers. Methods We performed a retrospective study reviewing ID e-consults in three institutions in the North Texas region: Clements University Hospital (CUH), Parkland Hospital and Health System (PHHS), and the VA North Texas Health Care System (VA) from March 1, 2020 to May 15, 2020. Variables collected include age, sex, ethnicity, comorbidities, time to completion, reason for consult and outcome of consult (initiation or removal of personal protective equipment (PPE) and recommendation to test or retest for COVID-19). Results We performed all analysis using R studio (Version 1.3.959). Characteristics of 198 patients included: 112(57%) male, 86(43%) female, 86(43%) Caucasian, 71(36%) Hispanic, 42(21%) African American, 6(3%) Asian and mean(sd) age of 55.1(15.9). Patient comorbidities included: 89(45%) with a heart condition, 77(39%) diabetes, 30(15%) asthma and 14(7%) liver disease. Median time to completion for all hospitals was 4 hours(h); ((CUH (4h) vs PHHS (2h), p< 0.05; VA (5.5h) vs PHHS (2h) p< 0.05)). Most common reasons for e-consult included: (63)32% regarding re-testing ((CUH 14(21%) vs PHHS 43(50%), p< 0.05; CUH vs VA 14(27%), p< 0.05; PHHS vs VA, p< 0.05)), (61)31% testing ((CUH 25(37%) vs PHHS 39(45%), p< 0.05; CUH vs VA 7(16%), p< 0.05; PHHS vs VA, p< 0.05)) and 61(31%) infection prevention (IP). Based on the e-consult recommendation, 53(27%) of patients were tested ((CUH 31(45%) vs PHHS 11(13%), p< 0.05, CUH vs VA 11(25%), PHHS vs VA, p< 0.05)), 45(23%) were re-tested, 44(22%) of patients had PPE started on and 19% had PPE removed ((CUH 0(0%) vs PHHS 16(19%), p< 0.05; CUH vs VA 21(48%), p< 0.05; PHHS vs VA, p< 0.05)). Reason for Consult Conclusion E-consult services can provide prompt ID input during the COVID-19 pandemic, minimizing the risk of infection to the patient and health care workers while preserving PPE and testing supplies. Disclosures Roger Bedimo, MD, MS, Gilead Sciences (Consultant)Merck & Co. (Advisor or Review Panel member)ViiV Healthcare (Advisor or Review Panel member, Research Grant or Support)

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Australian pharmacists’ willingness to conduct rapid HIV testing in community pharmacies

Sexual Health ◽

10.1071/sh16031 ◽

2016 ◽

Vol 13 (3) ◽

pp. 292

Author(s):

Anthony J. Santella ◽

Timothy E. Schlub ◽

Damien Fagan ◽

Richard J. Hillman ◽

Ines Krass

Keyword(s):

Health Care ◽

Hiv Testing ◽

Online Survey ◽

Community Pharmacists ◽

Community Pharmacies ◽

Hiv Patients ◽

Cross Sectional ◽

Rapid Hiv Testing ◽

Australian Community

Community pharmacists are expanding their roles in health care, especially as they are distributed over wide geographical areas and are often open long hours. New rapid HIV testing technologies may offer further opportunities to expand their roles. A cross-sectional, online survey of Australian community pharmacists found most prepared to provide treatment to HIV patients, with the majority willing to become involved in rapid HIV testing.

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Implementation of Routine Rapid HIV Testing Within the U.S. Department of Veterans Affairs Healthcare System

Journal for Healthcare Quality ◽

10.1111/j.1945-1474.2011.00151.x ◽

2012 ◽

Vol 34 (5) ◽

pp. 7-14 ◽

Cited By ~ 12

Author(s):

Henry D. Anaya ◽

Barbara Bokhour ◽

Jamie Feld ◽

Joya F. Golden ◽

Steven M. Asch ◽

...

Keyword(s):

Hiv Testing ◽

Healthcare System ◽

Veterans Affairs ◽

Department Of Veterans Affairs ◽

Rapid Hiv Testing ◽

The U.S

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Chilean Health Care Providers’ Perceived Comfort in Performing Oral Rapid Testing for HIV: A Cross-Sectional Study

Hispanic Health Care International ◽

10.1177/1540415319896249 ◽

2020 ◽

Vol 18 (4) ◽

pp. 191-197

Author(s):

Lisette P. Irarrázabal ◽

Judith A. Levy ◽

Rosina Cianelli ◽

Kathleen F. Norr ◽

L. Michele Issel ◽

...

Keyword(s):

Health Care ◽

Hiv Testing ◽

Health Care Providers ◽

Cross Sectional Study ◽

Successful Implementation ◽

Test Results ◽

Rapid Testing ◽

Care Providers ◽

Cross Sectional ◽

Rapid Hiv Testing

Objectives: To understand key factors influencing Chilean health care providers’ perceived comfort performing oral rapid HIV testing. Design: One hundred and fifty health care providers completed a self-administered questionnaire that included a five-item scale measuring self-perceived comfort in conducting HIV pretest counseling, oral rapid testing, finger-prick testing, and delivering test results. Results: Most participants (60%) envisioned good overall comfort performing oral rapid HIV testing (mean score of 16.21; range 0-20), including doing at least four of the five steps. They perceived least comfort delivering HIV-positive test results during posttest counseling. HIV stigmatizing attitudes reduced self-perceived comfort. Conclusions: Providing training to counter HIV stigmatization while increasing comfort in performing oral rapid testing would help facilitate its successful implementation.

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Haukoos JS, Hopkins E, Byyny, RL, For the Denver Emergency Department HIV Testing Study Group Patient Acceptance of Rapid HIV Testing Practices in an Urban Emergency Department: Assessment of the 2006 CDC Recommendations for HIV Screening in Health Care Settings

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2008.01.322 ◽

2008 ◽

Vol 51 (3) ◽

pp. 310-311 ◽

Cited By ~ 2

Author(s):

Tyler W. Barrett ◽

David L. Schriger

Keyword(s):

Health Care ◽

Emergency Department ◽

Hiv Testing ◽

Patient Acceptance ◽

Study Group ◽

Hiv Screening ◽

Health Care Settings ◽

Rapid Hiv Testing ◽

Testing Practices ◽

Urban Emergency Department

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Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil

Revista de Salud Pública ◽

10.15446/rsap.v20n5.61336 ◽

2018 ◽

Vol 20 (5) ◽

pp. 560-567

Author(s):

Adolfo Pizzinato ◽

Kátia Bones Rocha ◽

Rodrigo De Oliveira-Machado ◽

Fernanda Torres de Carvalho ◽

Isadora Nogueira-Freire

Keyword(s):

Health Care ◽

Hiv Testing ◽

Health Care Access ◽

Health Care Professionals ◽

Rapid Test ◽

Service Users ◽

Structured Interviews ◽

Rapid Hiv Testing ◽

Hiv Test ◽

Rapid Hiv Test

Objective To analyze how health professionals and health service users assess counseling on Rapid HIV test, as well as its implementation, which started in Brazil in 2010, focusing on positive aspects, barriers, and limitations, and analyzing possible meanings that are given to STD and HIV/AIDS.Method Qualitative, exploratory, and descriptive research. Semi-structured interviews were administered to 27 service users and 14 health care professionals; a thematic analysis of the interviews was performed. The study was carried out in one of the first Counseling and Testing Centers (CTC) designed to implement Rapid HIV tests in Porto Alegre, Brazil.Results Positive aspects of Rapid HIV testing implementation included a reduced waiting time for obtaining the test results, better assistance provision, an increase in the number of service hours, personalized pre- and post-tests, and better prepared health care professionals regarding health care during counseling. Limitations included beliefs about the effectiveness of Rapid HIV testing, physical structure, bad publicity on this technology, and poor health care capacity. Likewise, there are some who oppose this type of test, since they believe rapid tests may not be effective.Conclusions Integrating the perspectives of health care professionals and users on this policy will favor future rapid test implementations in other CTCs, and increase health care access possibilities.

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