MedStar Authors catalog › Details for: Implementation of universal rapid human immunodeficiency virus screening on labor and delivery.
Normal view MARC view ISBD view

Implementation of universal rapid human immunodeficiency virus screening on labor and delivery.

by Crochet, Stacia; Huang, Chun Chih; Fries, Melissa H; Scott, Rachel K.
Citation: Therapeutic Advances in Infectious Disease. 5(2):47-54, 2018 Mar.Journal: Therapeutic advances in infectious disease.Published: 2018ISSN: 2049-9361.Full author list: Crochet S; Huang CC; Fries M; Scott RK.UI/PMID: 29468056.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Washington Hospital Center | MedStar Health Research InstituteDepartment(s): Obstetrics and Gynecology/Maternal-Fetal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: (Click here) ORCID: Scott, Rachel K (Click here) Abbreviated citation: Ther. adv. infect. dis.. 5(2):47-54, 2018 Mar.Abstract: 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.Abstract: Methods: We evaluated the implementation using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework.Abstract: 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.Abstract: 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.

Powered by Koha