Performance triple screening hiv, vhb,: This article explores the topic in depth.
Consequently,
Performance triple screening hiv. Furthermore, vhb,:
The UrDeptrio project, carried out between May 2018 and November 2022 at the Bichat Hospital (Paris 18happen), consisted in proposing a triple screening of HIV, HCV and HCV to the emergency consultants with a levy during their care (those over 18 years of age and minors for which a legal representative has given its agreement) in “opt-out” (an display in the service announces the tests which will be carried out without request for an individual consent, unless the consultant).
A new emergency study with exceptional results – Performance triple screening hiv, vhb,
The results have just been published: among the 367. Meanwhile, 717 patients who consulted the emergencies of this establishment, 69,866 (19%) had a blood sample, but only 5,322 patients (7.6%) were included. Therefore, This relatively low proportion is explained by some refusals, losses by medical or nurse, or language problems for the consultant. For performance triple screening hiv, vhb, example, Indeed, although the principle is “opt out”, with regard to research, the approach had to be exposed to the consultant. Moreover, In total, 137 (2.57%) were found positive for the HIV Human immunodeficiency virus. In addition, In English: HIV (Human Immunodeficist Virus). Furthermore, Isolated in 1983 at the Institut Pasteur de Paris. For example, Recently discovered (2008) awarded by the Nobel Prize in Medicine awarded to Luc Montagnier and Françoise Barré-Sinoussi. 143 (2.69%) for VHB, and 152 for HCV (2.86%). Consequently, Among these, 51.1% were positive in HIV, 65.7% in HBV and 46.7% were new diagnoses. Consequently, “Link to care” rates for newly discovered positives are 91% for HBV, 96% for HCV and 100% for HIV.
Positivity rates are exceptionally high here if they are brought closer to the rates of 2.8 tests per thousand serologies for HIV reported by Labovih in 2023 in performance triple screening hiv, vhb, Ile de France1. positivity rates reported in Mouth Free information, screening and diagnostic center (CEGIDD) of human immunodeficiency viruses, viral hepatitis and sexually transmitted infections. These centers have replaced anonymous and free screening centers (CDAG) since January 1, 2016. In 2022 for VHB (1.2%) and for HCV (0.7%) in this same region2. Equally impressive. the rates of links to care that owe their level to a tight and proactive organization within the hospital between emergencies and the hospital’s medical services. The link to care is often the weak point of the screening course.
Test only patients withdrawn: a strategy that optimizes the additional workload for emergency caregivers
The strategy which consists in making serologies only from the discussion consultants lightens the approach in services in permanent overload. The previous experiences in Ile de France had been carried out by rapid performance triple screening hiv, vhb, HIV tests, requiring an implication and a gesture of nurses who become incompatible with the pressure on caregivers3.
If studies. evaluations are carried out in different countries (in Spain, Denmark and the United States), only England integrated in 2022 into its HIV elimination program and hepatitis emergency screening in areas with strong prevalence Number of people affected by an infection or other disease given in a determined population. in people with a blood sample and leads an extensive assessment for the redefinition of this program4.
Move forward ?
In France. the group of experts, while asserting itself favorable “to the proposal of a screening for HIV and hepatitis B and C in the emergency room with implicit consent (notification that the test will be carried out unless the patient opposes or” opt-out “), moderates his position (or weakened) by performance triple screening hiv, vhb, wishing” the continuation of research to implement the most efficient interventions Joint HIV and hepatitis B and C screening and specify the target populations (refine targeting issues according to territories) »5. Knowing that research on HIV testing in the emergency room began in 2009. that the results have been published for several years and that many refined epidemiological parameters are available, it is unlikely that we quickly have new information to decide or not set up this catch -up system.
Reference : Wong C. Le Hingrat Q, Salipante F, Mackiewicz V, Damond F, Larrouy L, Choquet C, Pospai D, Champenois K, Descamps D, Leblanc J, Loubet P, Casalino E, Ghosn J, Bouzid D. Combined screening of human immunodeficiency virus. hepatitis B virus, and hepatitis C virus in an emergency department: The URDEPTRIO cross-sectional study. Acad Emerg Med. 2025 May 14. doi: 10.1111/acem.70060. Epub ahead of print. PMID: 40369975
performance triple screening hiv, vhb,
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