POSTER PRESENTATION Open Access Difficulties of routine rapid HIV screening in emergency department Philippe Genet * , Catherine Legall, Pascal Peudepiece, François Briand, Laurence Courdavault From 16 th International Symposium on HIV and Emerging Infectious Diseases Marseille, France. 24-26 March 2010 Background To evaluate the feasibility of routine rapid HIV screening in an emergency department of a general hospital. Methods From January 2008 to August 2008, all patients admitted from 8 AM to 4 PM to the emergency unit of the hospital were offered a rapid screening for HIV infection. After inform consent, HIV rapid test was performed by the biology laboratory. Result of the test was transmitted to the clinicians who informed the patient of the result of his test. An ELISA was systematically performed later to confirm the results of the rapid test. Results During the period of the study, 16 024 patients were admitted to the emergency department. Routine screening was proposed to 420 patients. 19 patients denied the test. So, only 401 HIV tests have been performed (2,5% of the total number of eligible patients). 1 test was posi- tive (0,25%). No discordance between rapid tests and ELISA were observed. Discussion Despite a high acceptance of screening by the patients and high sensibility and specificity of rapid tests, these results seem disappointing. Only a very low minority of patients were offered an HIV screening. The main explanation seems to be a reluctance of clinicians to propose the test to their patients. Arguments advanced by physicians to explain this were various: lack of time, reluctance to obtain inform consent, questions about the interest of routine HIV screening in emergency department... So, reflections must be conducted to increase the acceptance of routine screening by physicians. One of the promising options would be to use an opt-out procedure. Published: 11 May 2010 doi:10.1186/1742-4690-7-S1-P108 Cite this article as: Genet et al.: Difficulties of routine rapid HIV screening in emergency department. Retrovirology 2010 7(Suppl 1):P108. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] CH Victor Dupouy, Argenteuil, France Genet et al. Retrovirology 2010, 7(Suppl 1):P108 http://www.retrovirology.com/content/7/S1/P108 © 2010 Genet et al; licensee BioMed Central Ltd.

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Page 1: Difficulties of routine rapid HIV screening in emergency department

POSTER PRESENTATION Open Access

Difficulties of routine rapid HIV screening inemergency departmentPhilippe Genet*, Catherine Legall, Pascal Peudepiece, François Briand, Laurence Courdavault

From 16th International Symposium on HIV and Emerging Infectious DiseasesMarseille, France. 24-26 March 2010

BackgroundTo evaluate the feasibility of routine rapid HIV screen-ing in an emergency department of a general hospital.

MethodsFrom January 2008 to August 2008, all patients admittedfrom 8 AM to 4 PM to the emergency unit of the hospi-tal were offered a rapid screening for HIV infection.After inform consent, HIV rapid test was performed bythe biology laboratory. Result of the test was transmittedto the clinicians who informed the patient of the resultof his test. An ELISA was systematically performed laterto confirm the results of the rapid test.

ResultsDuring the period of the study, 16 024 patients wereadmitted to the emergency department. Routine screen-ing was proposed to 420 patients. 19 patients denied thetest. So, only 401 HIV tests have been performed (2,5%of the total number of eligible patients). 1 test was posi-tive (0,25%). No discordance between rapid tests andELISA were observed.

DiscussionDespite a high acceptance of screening by the patientsand high sensibility and specificity of rapid tests, theseresults seem disappointing. Only a very low minority ofpatients were offered an HIV screening. The mainexplanation seems to be a reluctance of clinicians topropose the test to their patients. Arguments advancedby physicians to explain this were various: lack of time,reluctance to obtain inform consent, questions aboutthe interest of routine HIV screening in emergencydepartment... So, reflections must be conducted toincrease the acceptance of routine screening by

physicians. One of the promising options would be touse an opt-out procedure.

Published: 11 May 2010

doi:10.1186/1742-4690-7-S1-P108Cite this article as: Genet et al.: Difficulties of routine rapid HIVscreening in emergency department. Retrovirology 2010 7(Suppl 1):P108.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

* Correspondence: [email protected] Victor Dupouy, Argenteuil, France

Genet et al. Retrovirology 2010, 7(Suppl 1):P108http://www.retrovirology.com/content/7/S1/P108

mailto:[email protected]