title: Undiagnosed HIV prevalence based on nontargeted screening in emergency departments.
abstract: To estimate the 2009-2010 undiagnosed HIV prevalence in the Paris metropolitan region, where half of France's new HIV cases are diagnosed annually, we used a direct method based on a large sample of emergency department patients unaware of their HIV status. The overall expected prevalence was 0.09% (95% confidence interval 0.04-0.13). Undiagnosed infections were exclusively found in high-risk groups. This prevalence is below the 0.1% threshold suggested by regulatory authorities for implementing universal screening.
authors.affiliation: Département de Médecine Aigüe Spécialisée, Hôpital Raymond-Poincaré, AP-HP, Garches, France. anne-claude.cremieux@rpc.aphp.fr
authors.forename: Anne-Claude
authors.initials: AC
authors.lastname: Crémieux
authors.forename: Kayigan W
authors.initials: KW
authors.lastname: D'Almeida
authors.forename: Pierre
authors.initials: P
authors.lastname: de Truchis
authors.forename: François
authors.initials: F
authors.lastname: Simon
authors.forename: Yann
authors.initials: Y
authors.lastname: le Strat
authors.forename: Vanina
authors.initials: V
authors.lastname: Bousquet
authors.forename: Caroline
authors.initials: C
authors.lastname: Semaille
authors.forename: Stéphane
authors.initials: S
authors.lastname: le Vu
authors.forename: France
authors.initials: F
authors.lastname: Lert
mesh_terms: D000293:Adolescent; D000328:Adult; D003627:Data Interpretation, Statistical; D004636:Emergency Service, Hospital; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis* / Q000453:epidemiology*; D015528:HIV Seroprevalence / Q000639:trends; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D010297:Paris / Q000453:epidemiology; D055815:Young Adult