Nomenclature and definitions for emergency department human immunodeficiency virus (HIV) testing: report from the 2007 conference of the National Emergency Department HIV Testing Consortium.
Early diagnosis of persons infected with human immunodeficiency virus (HIV) through diagnostic testing and screening is a critical priority for individual and public health. Emergency departments (EDs) have an important role in this effort. As EDs gain experience in HIV testing, it is increasingly apparent that implementing testing is conceptually and operationally complex. A wide variety of HIV testing practice and research models have emerged, each reflecting adaptations to site-specific factors and the needs of local populations. The diversity and complexity inherent in nascent ED HIV testing practice and research are associated with the risk that findings will not be described according to a common lexicon. This article presents a comprehensive set of terms and definitions that can be used to describe ED-based HIV testing programs, developed by consensus opinion from the inaugural meeting of the National ED HIV Testing Consortium. These definitions are designed to facilitate discussion, increase comparability of future reports, and potentially accelerate wider implementation of ED HIV testing.
Lyons
Michael S
MS
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA. lyonsme@ucmail.uc.edu
Lindsell
Christopher J
CJ
Haukoos
Jason S
JS
Almond
Gregory
G
Brown
Jeremy
J
Calderon
Yvette
Y
Couture
Eileen
E
Merchant
Roland C
RC
White
Douglas A E
DA
Rothman
Richard E
RE
Aldridge
Chris
C
Almond
Gregory
G
Andrade
Gregory
G
Arbelaez
Christian
C
Archinard
Tom-meka
TM
Aronin
Steven I
SI
Barrera
Susan
S
Bateganya
Moses
M
Bell-Merriam
Joanna
J
Bongiovanni
Bob
B
Brady
Kathleen
K
Branson
Bernard
B
Brosgart
Carol
C
Brown
Jeremy
J
Cadoff
Evan
E
Calderon
Yvette
Y
Chaille-Arnold
Linda
L
Cheng
Ben
B
Chiang
William
W
Copeland
Brittney
B
Cousar
Rosalyn L
RL
Couture
Eileen
E
Czarnogorski
Maggie
M
Delgado
Kit
K
Erbelding
Emily
E
Feldman
James
J
Garcia
Osvaldo
O
Gaydos
Charlotte A
CA
Glick
Nancy
N
Gripshover
Barbara
B
Haukoos
Jason
J
Hayes
Alisa
A
Heffelfinger
James
J
Herrera
Laura
L
Hilley
Amy
A
Holtgrave
David
D
Hoots
Brooke
B
Hopkins
Emily
E
Houry
Debra
D
Howell
Debra
D
Hsieh
Yu-Hsiang
YH
Hutchinson
Angela B
AB
Jackson
Blanca
B
Jaker
Michael
M
Jones
Kerin
K
Jung
Juliana
J
Kampe
Linda
L
Kan
Virginia
V
Kass
Nancy
N
Kelen
Gabor D
GD
Kroc
Karen
K
Kurth
Ann
A
Lampe
Margaret A
MA
Leider
Jason
J
Lemanski
Michael
M
Lindsell
Christopher J
CJ
Lyons
Michael
M
McGovern
Sandra
S
Mercer
Seth
S
Merchant
Roland
R
Miertschin
Nancy
N
Miller
Joan
J
Mitchell
Patricia
P
Nelson
Sarah
S
Onaga
Linda
L
Paltiel
David
D
Paul
Sindy
S
Pollack
Harold
H
Raffanti
Stephen
S
Randall
Liisa
L
Rothman
Richard
R
Sabreen
Akhter
A
Sankoff
Jeffrey
J
Sasso
Vanessa
V
Saylor
Nathaniel Bernard
NB
Schechter
Elissa
E
Schechtman
Barbara
B
Schrantz
Steven
S
Scribner
Alicia
A
Shahan
Judy
J
Skiest
Daniel
D
Spielberg
Freya
F
Stennett
Irijah S
IS
Sullivan
Patrick
P
Teahan
Cathalene
C
Thompson
Susan
S
Torres
Gretchen
G
Totten
Vicken
V
Wagner
Krystn
K
Walensky
Rochelle
R
Waxman
Michael
M
Weddle
Andrea
A
White
Douglas
D
Widell
Tom
T
Wilde
James A
JA
Wrenn
Keith
K
Yonek
Juliet
J
D003142:Communication; D004636:Emergency Service, Hospital / Q000191:economics / Q000458:organization & administration; D017408:Guidelines as Topic; D015658:HIV Infections / Q000175:diagnosis* / Q000191:economics; D006801:Humans; D019221:Mandatory Reporting; D009626:Terminology as Topic