Anderson Erik S, Pfeil Sarah K, Alter Harrison J, White Douglas A E
Department of Emergency Medicine, Highland Hospital, Alameda Health System, Oakland, CA, USA Department of Emergency Medicine, Stanford University, Palo Alto, CA, USA
Department of Emergency Medicine, Highland Hospital, Alameda Health System, Oakland, CA, USA.
J Int Assoc Provid AIDS Care. 2016 May;15(3):184-8. doi: 10.1177/2325957416629551. Epub 2016 Feb 8.
We implemented triage nurse rapid HIV and hepatitis C virus (HCV) screening, in parallel with physician diagnostic testing, in our urban emergency department (ED).
A 2-month cross-sectional survey was performed to determine the proportion of patients who correctly reported being tested for HIV and HCV.
A total of 492 patients were surveyed. Fifty-one (70%) of the 73 patients who reported being HIV tested and 372 (89%) of the 419 patients who reported not being HIV tested were correct. Thirty (60%) of the 50 patients who reported being HCV tested and 416 (94%) of the 442 patients who reported not being HCV tested were correct.
Although most ED patients correctly reported whether testing was performed, there were many who did not. Although ED screening programs for HIV and HCV serve as an important venue for screening, strategies to improve communication require attention.
我们在城市急诊科实施了分诊护士快速艾滋病毒和丙型肝炎病毒(HCV)筛查,并与医生诊断检测同步进行。
进行了为期2个月的横断面调查,以确定正确报告接受艾滋病毒和丙肝病毒检测的患者比例。
共对492名患者进行了调查。报告接受艾滋病毒检测的73名患者中有51名(70%)报告正确,报告未接受艾滋病毒检测的419名患者中有372名(89%)报告正确。报告接受丙肝病毒检测的50名患者中有30名(60%)报告正确,报告未接受丙肝病毒检测的442名患者中有416名(94%)报告正确。
尽管大多数急诊科患者正确报告了是否进行了检测,但仍有许多人没有。虽然急诊科艾滋病毒和丙肝病毒筛查项目是筛查的重要场所,但改善沟通的策略仍需关注。