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  1. Fulltext. Trends in human immunodeficiency virus (HIV) infection among a patient population of an inner-city emergency department : implications for emergency department-based screening programs for HIV infection.

    Article - En anglais


    Personnel of inner-city emergency departments (EDs), which are frequently the only source of medical care for many patients, may be in a unique position to detect human immunodeficiency virus (HIV) infection earlier than personnel at other recommended screening sites.

    To assist development of ED-based screening strategies for HIV infection, we undertook a serosurvey of HIV infection in adult patients attending an ED during a 6-week period in 1992 using an identity-unlinked technique and compared our findings with data collected similarly in 1988.

    Of 1,606 patients, 183 (11.4%) were HIV-positive, compared with 6.0% in 1988.

    Seroprevalence rates of HIV infection among patients only at risk of heterosexual transmission increased more than fourfold (7% to 30.3%). CD4+cell counts were higher in those patients with undiagnosed HIV infection than in those with known HIV infection.

    Targeting minority patients aged 25-44 years, intravenous drug users, and those patients at heterosexual risk would have identified 87% of patients with new HIV infection, while requiring screening of 41% of the study sample.

    Targeted voluntary screening programs in certain EDs would likely detect significant numbers of new early HIV infections.

    Mots-clés Pascal : SIDA, Virose, Infection, Epidémiologie, Anticorps, Virus immunodéficience humaine, Lentivirinae, Retroviridae, Virus, Etats Unis, Amérique du Nord, Amérique, Service hospitalier, Homme, Urgence, Dépistage, Immunopathologie, Immunodéficit

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Epidemiology, Antibody, Human immunodeficiency virus, Lentivirinae, Retroviridae, Virus, United States, North America, America, Hospital ward, Human, Emergency, Medical screening, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0570150

    Code Inist : 002B06D01. Création : 01/03/1996.