Routine HIV testing in acute medical admissions in a high prevalence area reduces morbidity and mortality of HIV: a full cycle audit.

Abstract:

:Late HIV diagnosis in the UK remains a major cause of morbidity and mortality. In line with British HIV Association recommendations, we implemented routine HIV Screening in Croydon University Hospital Acute Medical Unit in London after an audit in 2011 revealed very high levels of late diagnosis. Our re-audit assessed the impact of Acute Medical Unit screening and found that patients identified by screening, compared to those tested due to clinical suspicion of HIV, were significantly less likely to be diagnosed late, had fewer AIDS-defining illnesses and shorter hospital admissions. In addition, screening identified patients who were not in traditional 'high-risk' groups and patients who had defaulted HIV care and who subsequently re-engaged with care.

journal_name

Int J STD AIDS

authors

Hill-Tout R,Cormack I,Elgalib A

doi

10.1177/0956462415597346

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

591-4

issue

7

eissn

0956-4624

issn

1758-1052

pii

0956462415597346

journal_volume

27

pub_type

杂志文章
  • Surveillance of sexually transmitted diseases in general practice: a description of trends in the Royal College of General Practitioners Weekly Returns Service between 1994 and 2001.

    abstract::This paper describes the incidence of sexually transmitted infections (STIs) recorded in the Weekly Returns Service (WRS) between 1994 and 2001. There were approximately 76,500 new diagnoses of STIs (7500 males, 71,000 females) and associated syndromes. Candidiasis was the commonest condition reported in males and fem...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646206780070992

    authors: Simms I,Fleming DM,Lowndes CM,Smith GE,Chapman RS

    更新日期:2006-10-01 00:00:00

  • Haemophilus ducreyi.

    abstract::Genital ulcer disease as a risk factor for HIV transmission has become apparent in the fight against AIDS. In poor communities in developing countries with people living under low hygienic conditions chancroid is often reported to be the most common form of genital ulcer. It is caused by Haemophilus ducreyi; a fastidi...

    journal_title:International journal of STD & AIDS

    pub_type: 社论,评审

    doi:10.1177/095646249300400602

    authors: Jonasson JA

    更新日期:1993-11-01 00:00:00

  • Cervical intraepithelial neoplasia and human papillomavirus infection among Senegalese women seropositive for HIV-1 or HIV-2 or seronegative for HIV.

    abstract::Studies in various regions of the world have shown that women infected with HIV-1 are at increased risk for cervical human papillomavirus (HPV) infection as well as for cervical cancer precursor lesions. HIV infection and cervical cancer are both widespread in West Africa, but little is known about the relationship be...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249400500307

    authors: Seck AC,Faye MA,Critchlow CW,Mbaye AD,Kuypers J,Woto-Gaye G,Langley C,De EB,Holmes KK,Kiviat NB

    更新日期:1994-05-01 00:00:00

  • Partner notification of sexually transmitted infections among pregnant women.

    abstract::The object of this study was to determine the factors associated with partner notification (PN) of sexually transmitted infection (STI) exposure among pregnant, low income, Mexican-American (MA) and African-American (AA) women and their male sexual partners. We used a cross-sectional analysis of 166 pregnant women wit...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2007.007295

    authors: Thurman AR,Holden AE,Shain R,Perdue S,Piper J

    更新日期:2008-05-01 00:00:00

  • Ocular cryptococcosis as a presenting manifestation of cryptococcal meningitis in a patient with HIV.

    abstract::We describe a case of cryptococcal meningitis in a patient known to have HIV who presented initially with ocular cryptococcosis. This case highlights to clinicians the need to be aware of this association and to carry out relevant investigations so as to treat these patients appropriately. ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2009.009132

    authors: Chai SM,Teoh SC

    更新日期:2012-05-01 00:00:00

  • Speaking the truth: an analysis of gender differences in serostatus disclosure practices among HIV-infected patients in St Petersburg, Russia.

    abstract::The Russian HIV epidemic is primarily fuelled by injection drug use, but heterosexual spread may be playing an increasing role in transmission. Government-funded AIDS clinics provide most HIV treatment in Russia, and represent an important contact point between the medical community and infected population. Little is ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2012.011463

    authors: Davidson AS,Zaller N,Dukhovlinova E,Toussova O,Feller E,Heimer R,Kozlov A

    更新日期:2012-10-01 00:00:00

  • Factors affecting men's liking of condoms they have used.

    abstract::The objective of this study was to assess the impact on men's liking for the condoms they use of a range of factors including demographic variables and variables that describe men's experience of using particular condoms. One hundred and ninety-four men used 3765 condoms for which they provided a liking rating. The co...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462991913907

    authors: Smith AM,Jolley D,Hocking J,Benton K,Gerofi J

    更新日期:1999-04-01 00:00:00

  • Testicular self-examination amongst genitourinary medicine clinic attendees.

    abstract::Advancements in the diagnosis and treatment of testicular cancer now give a five-year survival rate of 97.2%. Delayed presentation remains the primary cause of poor outcome and recommendations have stressed that men, particularly those with risk factors, should undertake regular testicular self-examination. This study...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462414522774

    authors: Kennett A,Shaw JW,Woolley PD

    更新日期:2014-10-01 00:00:00

  • Serological evidence for human immunodeficiency virus type 2 in east Africa.

    abstract::Infection by human immunodeficiency virus type 2 (HIV-2) has not previously been described in North or East Africa. We examined over 1200 sera of high-risk individuals from three North/East African countries for antibodies to HIV-2. Results indicated that 17 were repeatedly reactive by ELISA; 4 were confirmed by Weste...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249000100113

    authors: Constantine NT,Sheba MF,Fox E,Woody JN,Abbatte EA

    更新日期:1990-01-01 00:00:00

  • Sexually transmitted diseases in HIV-1 seropositive women at presentation.

    abstract::Ninety women who were HIV antibody positive attended the genitourinary medicine clinics of East Riverside up to May 1990. Seventy-five of these women (83%) were examined for co-existent sexually transmitted disease (STD) at presentation. The prevalence of STD in these women was compared to the incidence of STD in all ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/095646249100200312

    authors: Kell PD,Barton SE,Summerbell CD,Lawrence AG

    更新日期:1991-05-01 00:00:00

  • Joint effects of alcohol and stimulant use disorders on self-reported sexually transmitted infections in a prospective study of Cambodian female entertainment and sex workers.

    abstract::Female entertainment and sex workers (FESW) have high rates of alcohol and amphetamine-type stimulant (ATS) use, increasing risk for HIV/sexually transmitted infections (STI), and other negative outcomes. A prospective cohort of 1,198 FESW in a HIV/ATS use prevention intervention in Cambodia was assessed for alcohol a...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462420964647

    authors: Evans JL,Couture MC,Carrico A,Stein ES,Muth S,Phou M,Aynar L,Song N,Chhit S,Neak Y,Maher L,Page K

    更新日期:2020-12-13 00:00:00

  • Pneumocystis jirovecii prophylaxis discontinuation based upon total lymphocyte count in HIV-infected adults treated with antiretroviral therapy.

    abstract::Pneumocystis jirovecii pneumonia (PCP) prophylaxis may be discontinued when CD4 is > or =200 cells/mm(3) for three months in response to highly active antiretroviral therapy (HAART). Unlike CD4, the total lymphocyte count (TLC) is inexpensive and widely available in resource-constrained countries. Paired TLC and CD4 v...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2009.009090

    authors: Cheung C,Shuter J

    更新日期:2010-06-01 00:00:00

  • Persistent sexual arousal in a woman with associated cardiac defects and raised atrial natriuretic peptide.

    abstract::The persistent sexual arousal syndrome (PSAS) is a newly described entity where the woman becomes involuntarily genitally aroused for extended periods of time in the absence of sexual desire and is distressed by this situation. The cause of this sexual problem is not well understood. We describe such a case where the ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646207779949592

    authors: Bell C,Richardson D,Goldmeier D,Crowley T,Kocsis A,Hill S

    更新日期:2007-02-01 00:00:00

  • Treatment and partner notification outcomes for gonorrhoea: effect of ethnicity and gender.

    abstract::We assessed if gender and ethnicity were associated with differences in the number of patients satisfactorily treated and number of partners successfully treated for genital gonococcal infection by reviewing 400 cases. There were no differences in the rates of satisfactory treatment of gonorrhoea between men and women...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462053654159

    authors: Apoola A,Mantella I,Wotton M,Radcliffe K

    更新日期:2005-04-01 00:00:00

  • High prevalence of comorbidities and use of concomitant medication in treated people living with HIV in Germany - results of the BESIDE study.

    abstract::Due to demographic changes in people living with HIV (PLHIV), physicians are challenged with age-related comorbidities and their management. In the absence of comprehensive data collection, the burden of comorbidities and co-medication in addition to antiretroviral therapy (ART) remains unclear for the German real-wor...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462420942020

    authors: Funke B,Spinner CD,Wolf E,Heiken H,Christensen S,Stellbrink HJ,Witte V

    更新日期:2020-12-15 00:00:00

  • A case of severe thrombocytopaenia associated with acute HIV-1 infection.

    abstract::A 23-year-old man was admitted to our hospital with severe thrombocytopaenia. He had unprotected sexual contact 6 weeks earlier. He was diagnosed with acute HIV infection by means of HIV RNA viral load testing and HIV-associated thrombocytopaenia. Although his thrombocytopaenia improved immediately with short-term dex...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462414531937

    authors: Aoki A,Moro H,Watanabe T,Asakawa K,Miura S,Moriyama M,Tanabe Y,Kagamu H,Narita I

    更新日期:2015-03-01 00:00:00

  • Increase in visceral adipose tissue in a woman living with HIV after introduction of integrase strand transfer inhibitor.

    abstract::Integrase strand transfer inhibitors (INSTIs) are a class of antiretroviral drugs with high virologic efficacy and excellent tolerability. Recent evidence showed a possible link of dolutegravir-based regimens with weight gain, and a relationship between raltegravir use and changes in adipose tissue density and metabol...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462420955075

    authors: Piacentini D,Lanzafame M,Rizzardo S,Chiesi S,Lattuada E,Mehrabi S,Zamboni G,Mazzi R,Tacconelli E,Vento S

    更新日期:2020-12-01 00:00:00

  • Primary HIV infection.

    abstract::Primary HIV can be asymptomatic or result in a severe symptomatic illness. Common symptoms are pyrexia, pharyngitis, malaise, lethargy, maculopapular rash, mucous membrane ulceration, lymphadenopathy and headache. It can be reliably diagnosed by a positive virologic test in the absence of HIV-specific antibodies. Prog...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章,评审

    doi:10.1258/0956462021924613

    authors: Apoola A,Ahmad S,Radcliffe K

    更新日期:2002-02-01 00:00:00

  • Incidence of disseminated Mycobacterium avium-complex infection in HIV patients receiving antiretroviral therapy with use of Mycobacterium avium-complex prophylaxis.

    abstract::The incidence of disseminated Mycobacterium avium complex (MAC) infection in HIV patients has fallen markedly since the introduction of effective antiretroviral therapy (ART). However, current guidelines still recommend primary prophylaxis. We conducted a retrospective cohort study in a university-affiliated hospital ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462417713432

    authors: Jung Y,Song KH,Choe PG,Park WB,Bang JH,Kim ES,Kim HB,Park SW,Kim NJ,Oh MD

    更新日期:2017-12-01 00:00:00

  • History of intimate partner violence is associated with sex work but not sexually transmitted infection among HIV-positive female drinkers in Russia.

    abstract::This paper assesses the associations between intimate partner violence (IPV) and sexually transmitted infections (STIs) and sexual risks among HIV-positive female drinkers in St Petersburg, Russia. Survey and STI data were analysed from 285 women in HERMITAGE, a secondary prevention study of HIV-positive heavy drinker...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462412472809

    authors: Urada LA,Raj A,Cheng DM,Quinn E,Bridden C,Blokhina EA,Krupitsky E,Samet JH

    更新日期:2013-04-01 00:00:00

  • Audit of a network of sexually transmitted infections centred in South Wales.

    abstract::The aim of this article is to audit the distribution and frequency of sexually transmitted infections (STIs) within a sexual network centred in South Wales. After diagnosis of a new case of HIV in February 2007, partner notification, HIV and STI testing were undertaken. Those traced were given information regarding sa...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2009.009066

    authors: Knapper CM,Temple M,Roderick J,Smith J,Birley HD

    更新日期:2010-01-01 00:00:00

  • Audit of Postal Test Kits in Edinburgh for Chlamydia trachomatis as an alternative to genitourinary medicine clinic attendance.

    abstract::Our objective was to investigate whether Postal Test Kits (PTKs) for Chlamydia trachomatis in Edinburgh offer an alternative to genitourinary (GU) medicine clinic attendance. All PTKs returned in the Edinburgh area over a six-month period from August 2005 were audited. Data on age and previous access to GU medicine se...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646207780749718

    authors: Davison R,Bartholemew S,Clutterbuck DJ

    更新日期:2007-05-01 00:00:00

  • Age and racial disparities in substance use and self-reported viral suppression among men who have sex with men with HIV.

    abstract::HIV disproportionately affects men who have sex with men (MSM). Substance use is common among people living with HIV and may affect antiretroviral therapy adherence. Nevertheless, research examining the association between substance use and viral suppression is lacking. The aims of this study were to determine the ass...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462418779663

    authors: Brown MJ,Serovich JM,Laschober TC,Kimberly JA

    更新日期:2018-10-01 00:00:00

  • Spectrum of opportunistic infections in hospitalized HIV-infected patients in Phnom Penh, Cambodia.

    abstract::The aim of the study was to provide more comprehensive data on the clinical characteristics of hospitalized AIDS patients in Cambodia. Chart review of 381 HIV-infected patients admitted to a public hospital in Phnom Penh, Cambodia between December 1999 and May 2000 was performed. The in-hospital mortality rate was 43....

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/095646203765371312

    authors: Senya C,Mehta A,Harwell JI,Pugatch D,Flanigan T,Mayer KH

    更新日期:2003-06-01 00:00:00

  • Chylous ascites: a late complication of intra-abdominal Mycobacterium avium complex immune reconstitution syndrome in HIV-infected patients.

    abstract::Chylous ascites related to Mycobacterium avium complex (MAC) in HIV-infected patients is rare, with only six cases reported in the English literature. We report a series of six cases from a single institution. During the past six years, chylous ascites was diagnosed in six (35%) of 17 AIDS patients, all of whom had pr...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008275

    authors: Phillips P,Lee JK,Wang C,Yoshida E,Lima VD,Montaner J

    更新日期:2009-04-01 00:00:00

  • Using a national guideline: an audit of the management of gonorrhoea in Newcastle upon Tyne.

    abstract::The management of cases of gonorrhoea in the Genitourinary Medicine Department (GUM) of Newcastle upon Tyne in 1999 was audited. The sensitivity of microscopy in diagnosis was 90.4% for male urethral gonorrhoea and 26.6% for female genital gonorrhoea. The sensitivity of laboratory culture was 98.5%. Screening for Chla...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462001915057

    authors: Watson PG

    更新日期:2000-10-01 00:00:00

  • Uptake, retention, and outcomes in a demonstration project of pre-exposure prophylaxis among female sex workers in public health centers in Senegal.

    abstract::The Senegal pre-exposure prophylaxis (PrEP) Demonstration Project was an open-label cohort study assessing the delivery of daily oral PrEP to HIV-negative female sex workers (FSWs) in four Ministry of Health (MoH)-run clinics in Dakar, Senegal. We assessed uptake, retention in care, and adherence over up to 12 months ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1177/0956462420943704

    authors: Sarr M,Gueye D,Mboup A,Diouf O,Bao MDB,Ndiaye AJ,Ndiaye BP,Hawes SE,Tousset E,Diallo A,Jones F,Kane CT,Thiam S,Ndour CT,Gottlieb GS,Mboup S

    更新日期:2020-10-01 00:00:00

  • Vulval herpetic adhesion: a steroid success story.

    abstract::Vulval adhesion is a rare but recognized local complication following genital herpes infection. We believe this is only the second reported case of successful resolution of vulval herpetic adhesion using topical potent corticosteroid as the primary early treatment. ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2007.007099

    authors: Challenor R,Alexander I

    更新日期:2008-01-01 00:00:00

  • Acceptance of genitourinary medicine clinic appointments within 48 hours is influenced by patient perception of risk but not by symptoms.

    abstract::The Department of Health has addressed access to genitourinary medicine services by setting targets that 100% of patients should be offered an appointment within 48 hours of contact and 95% should be seen within 48 hours. Such rapid access appointments are often declined by patients. We wished to ascertain whether pat...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/ijsa.2008.008513

    authors: Steedman NM,Worsnop V,Fernie R

    更新日期:2009-09-01 00:00:00

  • Vulvodynia--new and more effective approaches to therapy.

    abstract::Two cases are described of treatment-resistant vulvodynia that responded well to gabapentin. Gabapentin, an anti-epileptic drug, has been used in the treatment of neuropathic pain such as diabetic neuropathy and post-herpetic neuralgia. However, there has been little experience of its use in the relief of symptoms in ...

    journal_title:International journal of STD & AIDS

    pub_type: 杂志文章

    doi:10.1258/0956462021924802

    authors: Bates CM,Timmins DJ

    更新日期:2002-03-01 00:00:00