Implementation of universal rapid human immunodeficiency virus screening on labor and delivery.
Citation: Therapeutic Advances in Infectious Disease. 5(2):47-54, 2018 MarPMID: 29468056Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2018ISSN:- 2049-9361
- Scott, Rachel K:
- https://orcid.org/0000-0002-1519-9222
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 29468056 | Available | 29468056 |
Background: A case of mother to child transmission (MTCT) of HIV at a medical center in Washington, DC, resulted in the implementation of universal opt-out rapid testing of patients admitted for delivery. This article evaluates the policy's efficacy and implementation.
Conclusion: The policy was successfully implemented with decreasing proportions of patients not tested. Earlier inclusion of testing into standard admission orders and nurse-based approach may have expedited adoption. Given the low incidence of new HIV diagnosis in labor, we were unable to assess decrease in MTCT.
Methods: We evaluated the implementation using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework.
Results: We could not evaluate decrease in MTCT rate secondary to low sample size (n=3324) and no true-positive results. Patients not tested (n=458) were predominately secondary to physician omission (93.7%) and were more likely to be White (p<0.01) and older (p<0.01). There was a negative relationship with physician omission over time.
English