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2021, Number Esp

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Sal Jal 2021; 8 (Esp)

Detección temprana de pacientes con Infección por VIH en el Servicio de Urgencias COVID-19 del Hospital General de Occidente

González-Guerrero MC, De Santiago-Gamero JB, Navarro-Soberanes LM, Estrada-Moreno BE, Corona-Ruiz F, Gutiérrez-Padilla JA, Guerrero-Almeida MC, Marín-Rosales M

Language: Spanish
References: 15
Page: 33-39
PDF size: 248.72 Kb.


ABSTRACT

Introduction: Th e Human Immunodefi ciency Virus (HIV) is a pandemic. Rapid HIV testing can provide HIV-1 test results in 30 minutes and is useful in settings where follow-up care of patients is challenging. Objectives: Early identifi cation of patients with HIV through antibody detection tests as well as capture and analysis of risk factors in the population studied. Material and methods: Epidemiological, cross-sectional study of early detection of HIV through rapid tests in the COVID-19 emergency department of the Hospital General de Occidente. Results: In our population (n = 355) there is a greater risk of up to 38 times the probability of documenting a positive rapid test in subjects who reported homosexual practices [p <0.001, OR 31.8 (CI95% 6.10-166)] with respect to another type of sexual practice. Patients who did not report screening in the last year showed a greater possibility of obtaining a positive test [p ‹0.001, OR 32 (95% CI 3.90-269)]. Other common risk factors in HIV were not associated with an increased risk of a positive test (p> 0.05) in our population. Conclusions: Screening for HIV in the emergency department is important for the early initiation of antiretroviral therapy and improving the life expectancy and quality of life of patients. In our population, the most important risk factors are relationships with the same sex and the absence of screening in the last year.


REFERENCES

  1. ONUSIDA. Un ambicioso objetivo de tratamiento para contribuir al fi n de la epidemia de sida. UnaidsOrg [Internet]. 2013;39. Available from: https://www.unaids.org/sites/default/ fi les/media_asset/90_90_90_es.pdf

  2. Parekh BS, Ou C-Y, Fonjungo PN, Kalou MB, Rottinghaus E, Puren A, et al. Diagnosis of Human Immunodefi ciency Virus Infection. Clin Microbiol Rev [Internet]. 2018 Dec 19;32(1):e00064-18. Available from: http://cmr.asm.org/content/32/1/e00064-18. abstract

  3. CENSIDA, Secretaria de Salud. Vigilancia Epidemiológica de casos de VIH / SIDA en México Registro Nacional de Casos de SIDA Actualización al 2do. Trimestre de 2019. Secr Salud [Internet]. 2019;23. Available from: http://www.censida.salud. gob.mx/descargas/epidemiologia/RN_2do_trim_2016.pdf

  4. Deeks SG, Overbaugh J, Phillips A, Buchbinder S. HIV infection. Nat Rev Dis Prim. 2015;1(October).

  5. Branson BM. HIV Diagnostics: Current Recommendations and Opportunities for Improvement. Infect Dis Clin North Am. 2019;33(3):611–28.

  6. Lyons MS, Lindsell CJ, Ruff ner AH, Wayne DB, Hart KW, Sperling MI, et al. Randomized Comparison of Universal and Targeted HIV Screening in the Emergency Department. 2014;64(3):315– 23.

  7. Rossi N De, Dattner N, Cavassini M, Peters S, Hugli O, Darling KEA. Patient and doctor perspectives on HIV screening in the emergency department: A prospective cross-sectional study. PLoS One. 2017;12(7):1–13.

  8. Owens DK, Davidson KW, Krist AH, Barry MJ, Cabana M, Caughey AB, et al. Screening for HIV Infection: US Preventive Services Task Force Recommendation Statement. JAMA - J Am Med Assoc. 2019;321(23):2326–36.

  9. INC. IP. ONE STEP Anti-HIV (1&2) Test. Geel, Belgium; 2017. p. 1–12.

  10. Merchant, Roland C. Baird, Janette R. Tao Liu. Taylor, Lynn E. Montague BTD. Brief Intervention to Increase Emergency Department Uptake of Combined Rapid HIV and Hepatitis C Screening Among a Drug Misusing Population. Acad Emerg Med Author manuscript; available. 2014;21(7):752–67.

  11. Haukoos JS, Ed D, Hopkins E. Understanding HIV Screening in the Emergency Department: Is Perception Reality? New Synergy of Human Immunodefi ciency Virus (HIV) Screening Policy in the United States. Acad Emerg Med [Internet]. 2013;20(3):309–

  12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3607944/pdf/nihms433620.pdf 12. Prabhu VS, Farnham PG, Hutchinson AB, Soorapanth S, Heff elfi nger JD, Golden MR, et al. Cost-Eff ectiveness of HIV Screening in STD Clinics, Emergency Departments, and Inpatient Units: A Model-Based Analysis. Med Spec Serv Line [Internet]. 5:111. Available from: www.plosone.org

  13. Centers for Disease Control and Prevention. HIV and Gay and Bisexual Men 5 in in 6 [Internet]. HIV and Gay and Bisexual Men. 2018. p. 1. Available from: https://www.cdc.gov/hiv/pdf/ group/msm/cdc-hiv-msm.pdf

  14. Centers for Disease Control and Prevention. HIV Testing [Internet]. cdc.gov. 2020. Available from: https://www.cdc.gov/ hiv/testing/index.html

  15. Genuis SJ, Genuis SK. Managing the sexually transmitted disease pandemic: A time for reevaluation. Am J Obstet Gynecol. 2004;191(4):1103–12.




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