Feasibility and Success of Hiv Point-of-Care Testing in an Emergency Department in an Urban Canadian Setting

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dc.contributor.authorBecker, Marissa L
dc.contributor.authorThompson, Laura H
dc.contributor.authorPindera, Carla
dc.contributor.authorBridger, Natalie
dc.contributor.authorLopez, Carmen
dc.contributor.authorKeynan, Yoav
dc.contributor.authorBullard, Jared
dc.contributor.authorVan Caseele, Paul
dc.contributor.authorKasper, Ken
dc.date.accessioned2016-06-07T19:11:07Z
dc.date.available2016-06-07T19:11:07Z
dc.date.issued2013-1-1
dc.date.updated2016-06-07T06:54:13Z
dc.description.abstractBACKGROUND: Approximately 26% of Canadians living with HIV are unaware of their status. Point-of-care (POC) HIV tests have been introduced to simplify and expand HIV testing.OBJECTIVE: To evaluate the feasibility and acceptability of POC testing in an emergency department (ED) setting in Winnipeg, Manitoba.METHODS: A cross-sectional study of unselected adults presenting to the ED at the Health Sciences Centre Hospital (Winnipeg, Manitoba) was performed. Study procedures included pre- and post-test counselling, administration of the INSTI HIV-1/HIV-2 Antibody Test (bioLytical Laboratories, Canada) and a brief questionnaire. Venous blood samples were collected from participants for confirmatory testing on all reactive and indeterminate specimens.RESULTS: In total, 501 adults participated in the study. The majority of participants were younger than 40 years of age, approximately one-half (48.5%) were women and 53% self-identified as Aboriginal. Nearly one-half (49.1%) of the participants had undergone previous HIV testing, although 63% of these tests were performed more than a year earlier. A total of seven individuals tested reactive with the POC test, all of whom were confirmed positive using serological testing (1.4%) and were linked to an HIV specialist within 24 h. Nearly all of the participants (96%) reported satisfaction with the test and believed it belonged in the ED (93%).CONCLUSIONS: Of the participants tested, 1.4% tested reactive for HIV, which is significantly higher than the reported prevalence in Manitoba and in other similar studies conducted in North America. Furthermore, all individuals were linked to timely care. The present study demonstrated that this particular busy tertiary care ED is an important and feasible location for HIV POC testing.
dc.description.versionPeer Reviewed
dc.identifier.citationMarissa L Becker, Laura H Thompson, Carla Pindera, et al., “Feasibility and Success of Hiv Point-of-Care Testing in an Emergency Department in an Urban Canadian Setting,” Canadian Journal of Infectious Diseases and Medical Microbiology, vol. 24, no. 1, pp. 27-31, 2013. doi:10.1155/2013/164797
dc.identifier.urihttp://dx.doi.org/10.1155/2013/164797
dc.identifier.urihttp://hdl.handle.net/1993/31349
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2013 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleFeasibility and Success of Hiv Point-of-Care Testing in an Emergency Department in an Urban Canadian Setting
dc.typeJournal Article
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