Estudio del impacto a nivel de salud pública del cribado universal del virus de la inmunodeficiencia humana en un servicio de Urgencias / Level of impact on the public health of universal human immunodeficiency virus screening in an Emergency Department

Introducción: El objetivo fue determinar la prevalencia de VIH y la aceptabilidad del uso de la prueba rápida en un servicio de Urgencias (SU) en Barcelona (6/07/2011-8/03/2013). Método: Estudio descriptivo que analizó la realización de la prueba rápida del VIH en fluido oral en un SU. La muestra se conformó por conveniencia y los participantes firmaron el consentimiento informado. Resultados reactivos confirmados por métodos convencionales. Resultado: A 2.140 se les ofreció realizar la prueba. La tasa de rechazo fue de un 5% (107/2.140). Tres sujetos (3/2.033 [0,15%]) tuvieron la prueba reactiva con confirmación del diagnóstico. Sujetos con mayor nivel educativo tenían una mayor probabilidad de aceptar realizar la prueba rápida de VIH en el SU (p<0,005). Conclusión: Se encontró una baja prevalencia de nuevos diagnósticos de VIH entre los participantes y una alta aceptabilidad a realizar la prueba rápida en el SU (AU)

Introduction: The aim of this study was to determine the prevalence of HIV and the acceptability of rapid testing in an emergency department (ED), Barcelona (6/07/2011 to 8/03/2013). Method: A convenience sample was used, depending on nurse availability in the ED. Participants signed an informed consent. Results were confirmed by conventional methods. Result: A total of 2,140 individuals were offered testing, and 5% rejected taking part (107/2,140). Three subjects (3/2,033 [0.15%]) had confirmed reactive test. Individuals with a higher education were more likely to perform a rapid HIV test in ED (P<.005). Conclusion: A low prevalence of new HIV diagnoses was found among participants, although there was a high acceptability rate to perform rapid testing in the ED (AU)

Level of impact on the public health of universal human immunodeficiency virus screening in an Emergency Department. / Estudio del impacto a nivel de salud pública del cribado universal del virus de la inmunodeficiencia humana en un servicio de Urgencias.

INTRODUCTION: The aim of this study was to determine the prevalence of HIV and the acceptability of rapid testing in an emergency department (ED), Barcelona (6/07/2011 to 8/03/2013). METHOD: A convenience sample was used, depending on nurse availability in the ED. Participants signed an informed consent. Results were confirmed by conventional methods. RESULT: A total of 2,140 individuals were offered testing, and 5% rejected taking part (107/2,140). Three subjects (3/2,033 [0.15%]) had confirmed reactive test. Individuals with a higher education were more likely to perform a rapid HIV test in ED (P<.005). CONCLUSION: A low prevalence of new HIV diagnoses was found among participants, although there was a high acceptability rate to perform rapid testing in the ED.