Bischof Jason J, Bell Lynda L, Pierce Jonah K, Cooper Katherine L, Heine Amy D, Quinlivan Evelyn Byrd, Gay Cynthia L
From the Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Sex Transm Dis. 2015 Jan;42(1):54-6. doi: 10.1097/OLQ.0000000000000215.
Infectious diseases (ID) clinics are locations where members of at risk social networks, including sex partners of HIV-infected patients, make contact with a medical care setting when they accompany HIV-positive patients to appointments.
We implemented a free point-of-care rapid HIV testing program for anyone accompanying a patient to the University of North Carolina ID clinic. Acceptability of the program among the general clinic population was assessed via an anonymous survey 1 year after program implementation. Basic frequencies of those who underwent and received results of rapid HIV testing, the proportion of positive rapid tests and confirmatory HIV tests performed, and the level of University of North Carolina ID clinic patient satisfaction with the HIV testing program were calculated.
Between October 2007 and June 2013, 450 (99.6%) of 452 individuals tested in the program received their results on the same day as testing. Twenty-two individuals (4.9%) tested HIV positive, of which 16 (72.7%) were newly positive, including 3 never previously tested. Excluding previously diagnosed individuals, HIV prevalence was 3.6% (16/446). Among those testing positive by rapid testing, 19 (86.4%) had confirmatory testing and immediately entered into HIV care at the clinic.
The high positivity and confirmatory HIV rates in our program confirm that the provision of rapid HIV testing in an ID clinic capitalizes on missed opportunities among an at-risk population and allows immediate linkage to care.
传染病（ID）诊所是高危社交网络成员（包括HIV感染患者的性伴侣）在陪同HIV阳性患者就诊时与医疗机构建立联系的场所。
我们为陪同患者前往北卡罗来纳大学传染病诊所的任何人实施了一项免费的即时快速HIV检测项目。在项目实施1年后，通过匿名调查评估该项目在普通诊所人群中的可接受性。计算接受快速HIV检测并获得结果的人员的基本频率、快速检测阳性和进行确证HIV检测的比例，以及北卡罗来纳大学传染病诊所患者对HIV检测项目的满意度水平。
2007年10月至2013年6月期间，该项目中接受检测的452人中有450人（99.6%）在检测当天获得了结果。22人（4.9%）HIV检测呈阳性，其中16人（72.7%）为新确诊阳性，包括3人此前从未接受过检测。排除先前诊断的个体后，HIV患病率为3.6%（16/446）。在快速检测呈阳性的人群中，19人（86.4%）进行了确证检测，并立即在诊所开始接受HIV治疗。
我们项目中的高阳性率和确证HIV率证实，在传染病诊所提供快速HIV检测利用了高危人群中错失的机会，并允许立即与治疗建立联系。
