Methods: We conducted a prospective quality improvement project. We first calculated the baseline proportion of adult patients tested for HIV among admitted patients who received an ID consult from January through June 2014. During the intervention period (July 1 to March 30 2015), written and verbal recommendations for appropriate screening were communicated to the primary teams with our recommendations.
Results: We achieved the goal of increasing the proportion of tested patients by a relative 15% from 48.9% at baseline to 56.1%.Baseline data showed that out of 276 consults, 135 patients were tested and of these 3 (2.2%) represented new diagnoses. During our intervention period out of 437 consults, 245 were tested and 3 of these (1.2%) represented a new diagnosis.
Conclusion: Despite improving the amount of testing we did not find any additional patients with a new diagnosis, likely due to a brief period of intervention. Barriers to implementing testing to all patients exist and some are patient factors (refusal) and others are provider factors (not following recommendations provided by the ID physician). Routine HIV testing has been shown to be cost effective and identifying patients early improves survival; links them to care at an earlier stage of the disease; provides access to medications ; and finally, prevents transmission of the virus. Many patients admitted to the hospital have not received routine HIV testing and ID physicians have the opportunity to educate primary providers and increase adherence to this recommendation.
Y. Oh, None
D. Tchamba, None
C. Salgado, None
L. Richey, None
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