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- Title
Prevalence of HIV Infection Among Inpatients and Outpatients in Department of Veterans Affairs Health Care Systems: Implications for Screening Programs for HIV.
- Authors
Owens, Douglas K.; Sundaram, Vandana; Lazzeroni, Laura C.; Douglass, Lena R.; Sanders, Gillian D.; Taylor, Kathie; VanGroningen, Ronald; Shadle, Vera M.; McWhorter, Valerie C.; Agoncillo, Teodora; Haren, Noreen; Nyland, Jill; Tempio, Patricia; Khayr, Walid; Dietzen, Dennis J.; Jensen, Peter; Simberkoff, Michael S.; Bozzette, Samuel A.; Holodniy, Mark
- Abstract
Objectives. We sought to determine the prevalence of HIV in both inpatient and outpatient settings in 6 Department of Veterans Affairs (VA) health care sites. Methods. We collected demographic data and data on comorbid conditions and then conducted blinded, anonymous HIV testing. We conducted a multi-variate analysis to determine predictors of HIV infection. Results. We tested 4500 outpatient blood specimens and 4205 inpatient blood specimens; 326 (3.7%) patients tested positive for HIV. Inpatient HIV prevalence ranged from 1.2% to 6.9%; outpatient HIV prevalence ranged from 0.9% to 8.9%. Having a history of hepatitis B or C infection, a sexually transmitted disease, or pneumonia also predicted HIV infection. The prevalence of previously undocumented HIV infection varied from 0.1% to 2.8% among outpatients and from 0.0% to 1.7% among inpatients. Conclusions. The prevalence of undocumented HIV infection was sufficiently high for routine voluntary screening to be cost effective in each of the 6 sites we evaluated. Many VA health care systems should consider expanded routine voluntary HIV screening. (Am J Public Health. 2007;97:2173-2178. doi:10.2105/AJPH. 2007.110700)
- Subjects
UNITED States; DISEASE prevalence; HIV-positive persons; OUTPATIENT services in veterans' hospitals; VETERANS' hospitals; MEDICAL screening; UNITED States. Dept. of Veterans Affairs
- Publication
American Journal of Public Health, 2007, Vol 97, Issue 12, p2173
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2007.110700