PT  - JOURNAL ARTICLE
AU  - Adrian Palfreeman
AU  - Farai Nyatsanza
AU  - Helen Farn
AU  - Graham McKinnon
AU  - Paul Schober
AU  - Paul McNally
TI  - HIV testing for acute medical admissions: evaluation of a pilot study in Leicester, England
AID  - 10.1136/sextrans-2011-050401
DP  - 2013 Jun 01
TA  - Sexually Transmitted Infections
PG  - 308--310
VI  - 89
IP  - 4
4099  - http://sti.bmj.com/content/89/4/308.short
4100  - http://sti.bmj.com/content/89/4/308.full
SO  - Sex Transm Infect2013 Jun 01; 89
AB  - Objectives The 2008 UK National Guidelines for HIV testing recommended HIV testing should be offered to all general medical admissions aged 16–60 years in high prevalence areas, and that this should be evaluated to ensure this was effective in diagnosing previously undiagnosed HIV. Methods HIV testing was introduced as a routine test for all patients admitted to the acute medical admissions unit, comparisons were made between the testing rates before, during and after this intervention. Results The pilot was initiated in August 2009. Prior to the pilot the unit was carrying out 15 tests per month. However, when the pilot was introduced 82 tests were being carried out per month with a total of 10 new diagnoses since the start of the pilot. The proportion of patients tested versus those eligible for testing remained low varying between 6% and 22% month by month. 10 patients we found to be HIV positive with a prevalence of approximately 1%, 10 fold higher than the cut off for cost effectiveness used in the guidelines. Conclusions Overall the pilot showed that HIV testing could be delivered without the use of extra resources and is acceptable to patients.