title: TestMeEast: a campaign to increase HIV testing in hospitals and to reduce late diagnosis.
abstract: Late diagnosis occurs in almost half of those diagnosed in the UK (HIV Prevention England, 2013. Retrieved June 22, 2014, from HIV Prevention England: http://www.hivpreventionengland.org.uk/Campaigns-Current/National-HIV-Testing-Week ). Testing occurs mainly in sexual health and antenatal clinics despite recommendations to test more broadly [Ellis, S., & Curtis, H. (2012). HIV diagnoses and missed opportunities. Results of the British HIV association (BHIVA) National Audit 2010. Clinical Medicine, 12(5), 430-434]. We report the findings of an HIV-testing week campaign to offer testing to those who have blood tests as part of routine care within outpatient clinics and emergency departments of six London hospitals. The campaign target was to test 500 patients a day during the 2013 National HIV Testing Week (NHTW). Clinic staff and medical students were trained to offer routine HIV testing. Linkage to care was arranged for those who tested HIV-positive. During NHTW we tested 2402 of the planned 2500 test target. 2402/4317 (55.6% 95% CI 54.1-57.1%) of those who had routine blood tests were tested for HIV. There were eight HIV-positive tests; three were new diagnoses (all linked to care). The campaign hashtag #TestMeEast achieved a total Twitter "reach" of 238, 860 and the campaign had widespread news coverage. Our campaign showed that staff and students could be trained and mobilised to do thousands of routine HIV tests during a campaign.
authors.affiliation: a Barts Health NHS Trust , London , UK.
authors.forename: R
authors.initials: R
authors.lastname: Bath
authors.affiliation: a Barts Health NHS Trust , London , UK.
authors.forename: R
authors.initials: R
authors.lastname: O'Connell
authors.affiliation: a Barts Health NHS Trust , London , UK.
authors.forename: M
authors.initials: M
authors.lastname: Lascar
authors.affiliation: c London School of Hygiene and Tropical Medicine , London , UK.
authors.forename: R
authors.initials: R
authors.lastname: Ferrand
authors.affiliation: b Positively UK , London , UK.
authors.forename: S
authors.initials: S
authors.lastname: Strachan
authors.affiliation: a Barts Health NHS Trust , London , UK.
authors.forename: N
authors.initials: N
authors.lastname: Matin
authors.affiliation: a Barts Health NHS Trust , London , UK.
authors.forename: I
authors.initials: I
authors.lastname: Bassnet
authors.affiliation: a Barts Health NHS Trust , London , UK.|d HIV Medicine, Infection and Immunity, Royal London Hospital , London , UK.
authors.forename: C
authors.initials: C
authors.lastname: Orkin
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods*; D057210:Delayed Diagnosis / Q000517:prevention & control* / Q000706:statistics & numerical data; D003955:Diagnostic Tests, Routine / Q000379:methods; D015658:HIV Infections / Q000175:diagnosis*; D019538:Health Care Surveys; D006786:Hospitals, Urban / Q000458:organization & administration; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration; D015397:Program Evaluation; D006113:United Kingdom / Q000453:epidemiology
keywords: Routine HIV testing; campaign; emergency departments; late diagnosis; outpatient departments