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- W4283027984 abstract "<h3>Introduction</h3> There are over 100,000 people living with HIV in the UK. 1 in 16 are unaware of the diagnosis. Manchester has a HIV prevalence of 5.89/1000, above the level BHIVA suggests routine HIV testing in the ED should be conducted. We discuss the case of the first patient diagnosed with HIV via routine ED screening at a central Manchester hospital. Our patient was diagnosed with advanced HIV and multiple opportunistic infections, reiterating the importance of opt-out screening in areas high prevalence areas. <h3>Methods</h3> Opt-out screening for HIV was introduced to a central Manchester hospital on 1st December 2021. Since its inception a number of new HIV infections have been identified. Routine HIV screening has led to rapid diagnosis of patients who may otherwise not have been tested. <h3>Results</h3> A 28-year-old man presented to the ED with a reduced GCS, and was subsequently admitted to the ICU. He had recently been discharged from the same ED with headache and nausea. A HIV screening test performed at prior attendance was found to be reactive. Having access to the HIV result meant clinicians had a high index of suspicion for opportunistic infections and appropriate anti-microbials were initiated early. He was subsequently diagnosed with Cryptococcal meningitis, likely TB meningitis, Syphilis and CMV viraemia. Anti-retroviral therapy was commenced at an appropriate interval. <h3>Discussion</h3> Although the incidence of HIV is reducing late diagnosis remains a challenge. Routine screening for HIV in areas of high prevalence is crucial for the early diagnosis of HIV, improving outcomes and reducing transmission rates." @default.
- W4283027984 created "2022-06-18" @default.
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- W4283027984 date "2022-06-01" @default.
- W4283027984 modified "2023-09-26" @default.
- W4283027984 title "P96 Our experience of the first patient diagnosed with HIV via routine, opt-out Emergency Department (ED) testing" @default.
- W4283027984 doi "https://doi.org/10.1136/sextrans-bashh-2022.141" @default.
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