Will Patients "Opt In" to Perform Their Own Rapid HIV Test in the Emergency Department?
Will Patients "Opt In" to Perform Their Own Rapid HIV Test in the Emergency Department?
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DOI：
10.1016/j.annemergmed.2011.03.029
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发表时间：
2011-07-01
影响因子：
6.2
通讯作者：
Rothman, Richard E.
中科院分区：
文献类型：
--
作者：
Gaydos, Charlotte A.;Hsieh, Yu-Hsiang;Rothman, Richard E.
目的：我们评估了现有的由未经培训的患者进行的即时HIV检测的可行性和准确性，并与2个城市急诊科（ED）为患者提供的常规HIV即时检测进行了比较。从2008年4月到2009年12月，完成了由训练有素的医疗保健专业人员进行的标准艾滋病毒口腔液检测但不知道结果的患者，被招募来进行即时艾滋病毒检测患者可以选择口服液体或手指针刺血液即时检测。通过问卷调查评估进行试验力学的可接受性。对于“自我测试”，参与者获得他或她自己的样本并进行测试。患者的结果进行了比较，标准的口腔液结果获得的卫生保健professional.Results：总体而言，478 564（85%）患者接受标准的口腔液HIV检测志愿者，平均年龄为38至39岁。91%的参与者选择口服液，9%选择血液（P
Objective: We evaluate the feasibility and accuracy of existing point-of-care HIV tests performed by an untrained patient compared with the routinely used HIV point-of-care test offered to patients in 2 urban emergency departments (EDs).Methods: From April 2008 through December 2009, patients who had completed a standard HIV oral fluid test performed by a trained health care professional and who were unaware of their results were recruited to perform a rapid point-of-care HIV test. Patients were given a choice of the oral fluid or the fingerstick blood point-of-care test. Evaluation of acceptability to perform the mechanics of the test was accessed by questionnaire. For the "self-test," the participant obtained his or her own sample and performed the test. The patient's results were compared with standard oral fluid results obtained by the health care professional.Results: Overall, 478 of 564 (85%) patients receiving a standard oral fluid HIV test volunteered, with a mean age of 38 to 39 years. Ninety-one percent of participants chose oral fluid and 9% chose blood (P