Advertisement

 

 

Undiagnosed HIV and HCV Infection in a New York City Emergency Department, 2015.

Undiagnosed HIV and HCV Infection in a New York City Emergency Department, 2015.
Author Information (click to view)

Torian LV, Felsen UR, Xia Q, Laraque F, Rude EJ, Rose H, Cole A, Bocour A, Williams GJ, Bridgforth RF, Forgione LA, Doo H, Braunstein SL, Daskalakis DC, Zingman BS,


Torian LV, Felsen UR, Xia Q, Laraque F, Rude EJ, Rose H, Cole A, Bocour A, Williams GJ, Bridgforth RF, Forgione LA, Doo H, Braunstein SL, Daskalakis DC, Zingman BS, (click to view)

Torian LV, Felsen UR, Xia Q, Laraque F, Rude EJ, Rose H, Cole A, Bocour A, Williams GJ, Bridgforth RF, Forgione LA, Doo H, Braunstein SL, Daskalakis DC, Zingman BS,

Advertisement

American journal of public health 2018 03 22() e1-e7 doi 10.2105/AJPH.2018.304321

Abstract
OBJECTIVES
To measure undiagnosed HIV and HCV in a New York City emergency department (ED).

METHODS
We conducted a blinded cross-sectional serosurvey with remnant serum from specimens originally drawn for clinical indications in the ED. Serum was deduplicated and matched to (1) the hospital’s electronic medical record and (2) the New York City HIV and HCV surveillance registries for evidence of previous diagnosis before being deidentified and tested for HIV and HCV.

RESULTS
The overall prevalence of HIV was 5.0% (250/4990; 95% confidence interval [CI] = 4.4%, 5.7%); the prevalence of undiagnosed HIV was 0.2% (12/4990; 95% CI = 0.1%, 0.4%); and the proportion of undiagnosed HIV was 4.8% (12/250; 95% CI = 2.5%, 8.2%). The overall prevalence of HCV (HCV RNA ≥ 15 international units per milliliter) was 3.9% (196/4989; 95% CI = 2.8%, 5.1%); the prevalence of undiagnosed HCV was 0.8% (38/4989; 95% CI = 0.3%, 1.3%); and the proportion of undiagnosed HCV was 19.2% (38/196; 95% CI = 11.4%, 27.0%).

CONCLUSIONS
Undiagnosed HCV was more prevalent than undiagnosed HIV in this population, suggesting that aggressive testing initiatives similar to those directed toward HIV should be mounted to improve HCV diagnosis. (Am J Public Health. Published online ahead of print March 22, 2018: e1-e7. doi:10.2105/AJPH.2018.304321).

Submit a Comment

Your email address will not be published. Required fields are marked *

5 × three =

[ HIDE/SHOW ]