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Obgyn MD here:

This study seems kind of useless

It doesn’t talk about efficacy of screening for HIV or detection rates compared to targeted workups or number of new cases detected or any implication of results, it just says that they had a program which made the EDs test 30% more often, that’s all.

That’s an easy task: put a laminated sign on the computer, include a HIV testing prompt in the order set, make the HIV test auto populate with the gc/Ct order, send out a freaking email to ED staff: done

This article doesn’t discuss the effect on patient outcomes.

PA in EM

It is our standard of practice that anyone whom you might reasonably suspect may have an STI gets serology for HIV, Hep A/B/C, Syphilis, and urine NAAT for G&C. This on top of empiric oral treatment. Our outcomes may be skewed as I'm at an inner city ER with an over representation of folks who live on the margins.

I trained in the hood, I’m all about testing as a baseline, the article doesn’t say anything about results, though