Implementation of a routine HIV testing policy in an acute medical setting in a UK general hospital: a cross-sectional study: Table 1

Abstract

Our experience shows that routine opt-out testing can be delivered and sustained by general medical staff in an AMU with no money spent other than laboratory processing of the test. We believe that success and sustainability of this policy is due to the high level of commitment from and ownership by the AMU staff, particularly nurses. Ongoing support and motivation from the HIV team has facilitated the delivery of this policy.

Introducing opt-out HIV testing in an acute medical admissions unit: does it improve testing uptake in those with lobar pneumonia?

“…Similar reported initiatives in MAU across the UK have also had mixed success with uptake of HIV testing ranging from 22% in Northern England3 to 28% and 32.5% in other London MAU's 4 5. This is in contrast to routine HIV testing in other areas of our own hospital, where better testing rates have been seen in the emergency department (30% uptake)6 and critical care department (52%) 7.…”

Hospital‐based routine HIV testing in high‐income countries: a systematic literature review

“…HIV testing uptake, coverage and linkage to care As shown in Table 1, the HIV testing uptake ranged from 53% to 84%. In the UK, HIV test uptake in EDs (62-63%) [26,28], was lower than AMUs (70-84%), [26,30,32]. In the US, the uptake levels in EDs ranged from 53% to 75% [36,37].…”

“…The high‐level commitment and motivation of medical staff (especially nurses) offering HIV tests was identified in two UK‐based studies as a facilitator of offering HIV testing . Moreover, Rayment et al .…”

“…Seven UK-based studies were included [26][27][28][29][30][31][32], of which six were quantitative studies [26,[28][29][30][31][32] and one was a qualitative study [27]. Three of the quantitative studies were pilots of 3-month duration [26,31,32], whereas the other three studies reported on experience of implementing policies of routine HIV testing for the duration of 12 months [29], 21 months [30], and 30 months [28]. The qualitative study [27] examined staff views about HIV testing before and after the implementation of the HIV testing programme [26,27].…”

Promoting HIV testing, chlamydia testing and long-acting reversible contraception

“…Phillips et al 1 found that a third of inpatients had HIV tests following implementation of a routine HIV testing policy at Croydon University Hospital. We recently found similar rates of HIV testing in young women in the community in our medical student research projects.…”