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Routine HIV screening following the new CDC guidelines

This clinical protocol at GWU Emergency Department follows the new CDC guidelines for routine HIV screening. The program began on 9/12/06 and as of 10/1/06, 580 patients accepted screening, resulting in 4 positive cases. The next phase includes data analysis, epidemiology research, and increasing acceptance rates for HIV screening.

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Routine HIV screening following the new CDC guidelines

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  1. Routine HIV screening following the new CDC guidelines Clinical Protocol at GWU ED Jeremy Brown MD Dept of Emergency Medicine jbrown@mfa.gwu.edu

  2. Program began on 9/12/06 • As of 10/1/06 the numbers are as follows:

  3. 1003 patients eligible for screening • 580 patients accepted • 432 have DC area ZIPs • 423 declined

  4. 999 negatives • 4 positives • Occult HIV Rate at GWU ED= 0.7%

  5. 4 Positive Cases • All Male • 3 African-America • 1 Caucasian • 1 unknown ZIP • 3 ZIPs all within DC • Ages: 24, 34, 34, 55 • Insurance: Medicaid, BC/BS, Uninsured Discount, one unknown • Follow up: Two unknown, own physician in Greater DC area, Whitman Walker

  6. Next Phase • Continuing screening for as long as there is a supply of test kits • Analysis of data and epidemiology within the Greater DC area (School of Public Health, Division of Infectious Disease) • 16 point patient survey on attitudes towards HIV screening • Understanding why people decline HIV screening • Increasing the numbers of those who accept HIV screening

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