Buscar en
Enfermedades Infecciosas y Microbiología Clínica (English Edition)
Toda la web
Inicio Enfermedades Infecciosas y Microbiología Clínica (English Edition) Human immunodeficiency virus screening: Is it appropriate in hospital emergency ...
Journal Information
Vol. 36. Issue 3.
Pages 204 (March 2018)
Vol. 36. Issue 3.
Pages 204 (March 2018)
Letter to the Editor
DOI: 10.1016/j.eimce.2017.10.012
Full text access
Human immunodeficiency virus screening: Is it appropriate in hospital emergency departments?
Cribado del virus de la inmunodeficiencia humana: ¿es apropiado en los servicios de urgencias hospitalarios?
Visits
...
Roger Argelich Ibáñez
Corresponding author
argelich3@yahoo.es

Corresponding author.
, Natàlia Juan-Serra
Unidad de Medicina Teknon, Centro Médico Teknon, Barcelona, Spain
Related content
Enferm Infecc Microbiol Clin. 2017;35:434-710.1016/j.eimce.2017.06.002
Juliana Reyes-Urueña, Laura Fernàndez-López, Luis Force, Manel Daza, Cristina Agustí, Jordi Casabona
Enferm Infecc Microbiol Clin. 2018;36:20510.1016/j.eimce.2017.11.019
Juliana Reyes-Urueña, Laura Fernàndez-López, Jordi Casabona
Article information
Full Text
Bibliography
Download PDF
Statistics
Full Text
Dear Editor,

We have read with interest the short article “Study of the impact at a public health level of universal screening for the human immunodeficiency virus in an accident and emergency department”.1 We agree with the authors on the importance of interventions aimed at reducing the delay in diagnosis of infection with the human immunodeficiency virus (HIV), but we would like to make a number of comments.

First of all, we believe that there are multiple reasons for not implementing voluntary screening measures in a hospital Accident and Emergency (A&E) department. The A&E departments in our environment routinely reach saturation level, and there is also pressure from the health service itself to reduce and rationalise costs.2 In this context, adding a voluntary screening programme would not only increase costs, but would slow down the care process for all patients, especially those with a positive result. It should be noted that informing a patient that they have HIV is a task that requires expert counselling, and must be carried out in an appropriate environment and with the necessary time.3,4

Secondly, the low prevalence of new diagnoses in their study (0.15%) is striking. It is below the prevalence observed in the general population of Catalonia (0.4%)5 and in recent studies conducted in our environment (0.6%).6 We therefore wonder whether there might have been a selection bias, given the low rate of risk practices for transmission of HIV in the surveyed population.

In our opinion, rapid HIV diagnostic tests in A&E should target groups at risk for HIV transmission7 and in situations that suggest immunosuppression, such as atypical presentations of prevalent diseases,8 but not as part of a voluntary screening programme.

References
[1]
J. Reyes-Urueña, L. Fernandez-López, L. Force, M. Daza, C. Agustí, J. Casabona.
Estudio del impacto a nivel de salud pública del cribado universal del virus de la inmunodeficiencia humana en un servicio de urgencias.
Enferm Infecc Microbiol Clin, 35 (2017), pp. 434-437
[2]
L.F. Lobón, P. Anderson.
Innovación en Medicina de Urgencias y Emergencias: cinco aspectos organizativos que podrían cambiar nuestra práctica.
Emergencias, 29 (2017), pp. 61-64
[3]
S.A. Bozzette.
Routine screening for HIV infection-timely and cost-effective.
N Engl J Med, 352 (2005), pp. 620
[4]
R. Polo, E. García-Carrasco.
Detección de la infección por el VIH en los servicios de urgencias españoles: ¿realidad o utopía?.
Emergencias, 28 (2016), pp. 293-294
[5]
Centro de Estudios Epidemiológicos sobre las ITS y Sida de Cataluña.
SIVES 2013.
CEEISCAT, (2012),
[6]
A. Pizarro Portillo, C. del Arco Galán, I. de los Santos Gil, F. Rodríguez Salvanés, M. Negro Rua, A. del Rey Ubano.
Prevalencia y características de los pacientes con infección por virus de la inmunodeficiencia humana (VIH) diagnosticados de novo en un servicio de urgencias.
Emergencias, 28 (2016), pp. 313-319
[7]
Ministerio de Sanidad, Servicios Sociales e Igualdad.
Guía de recomenda-ciones para el diagnóstico precoz del VIH en el ámbito sanitario.
[8]
J. Ruiz Rivero.
Herpes zóster de evolución tórpida como primera manifestación de una infección por VIH.
Emergencias, 28 (2016), pp. 286

Please cite this article as: Argelich Ibáñez R, Juan-Serra N. Cribado del virus de la inmunodeficiencia humana: ¿es apropiado en los servicios de urgencias hospitalarios? Enferm Infecc Microbiol Clin. 2018;36:204.

Copyright © 2017. Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

es en pt
Política de cookies Cookies policy Política de cookies
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.