| Titre : | Prevalence of HIV Infection Among Inpatients and Outpatients in Department of Veterans Affairs Health Care Systems : Implications for Screening Programs for HIV. (2007) |
| Auteurs : | Douglas-K OWENS ; Teodora AGONCILLO ; Samuel-A BOZZETTE ; Dennis-J DIETZEN ; Lena-R DOUGLASS ; Noreen HAREN ; Mark HOLODNIY ; Peter JENSEN ; Walid KHAYR ; Laura-C LAZZERONI ; Valerie-C MCWHORTER ; Jill NYLAND ; Gillian-D SANDERS ; Vera-M SHADLE ; Michael-S SIMBERKOFF ; Vandana SUNDARAM ; Kathie TAYLOR ; Patricia TEMPIO ; Ronald VANGRONINGEN ; Va North Chicago Healthcare System. Chicago. IL. USA ; Va Palo Alto Healthcare System. Palo Alto. CA. USA ; Va San Diego Healthcare System. San Diego. CA. USA ; Va San Francisco Healthcare System. San Francisco. CA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 97, n° 12, 2007) |
| Pagination : | 2173-2178 |
| Langues: | Anglais |
| Mots-clés : | Prévalence ; Sida ; Soins hospitaliers ; Hôpital ; Homme ; Soins ambulatoires ; Malade ; Assurance maladie ; Système santé ; Soins ; Dépistage ; VIH ; Virose ; Infection ; Amérique ; Rétrovirus ; Virus ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS pjkYR0xz. Diffusion soumise à autorisation]. 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 multivariate 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. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact