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P042 Partner notification outcomes from London emergency department HIV testing programme
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P042 Partner notification outcomes from London emergency department HIV testing programme
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Journal Article
P042 Partner notification outcomes from London emergency department HIV testing programme
2023
Overview
IntroductionThe Emergency Department (ED) opt-out BBV testing programme was initiated in April 2022. People who test positive for HIV are managed by local Sexual Health Services (SHS) for follow-up and partner notification (PN).We reviewed PN outcomes for people diagnosed during the first six months of the London ED programme to assess effectiveness and to measure performance against national PN standards.MethodsSHS representing nine EDs across six NHS Trusts provided PN data for people diagnosed through the ED from 1st April to 30th September 2022. For each index case clinics were asked to provide: data on partners, testing outcomes for contactable partners and timeframes.Primary outcomes were calculated using the BASHH/BHIVA/NAT standards.ResultsA total of 77 index cases were reported for the first 6 months of the programme. A breakdown of partner reporting and follow-up is summarised in Figure 1.Abstrct P042 Figure 1Summary of index patients and PN outcomes[Figure omitted. See PDF]Outcome 1 - Number of contacts tested per total number of index cases= 0.38 (standard 0.6 HCP verified (HCPv); 0.8 HCPv and Index patient reported (IPR))Outcome 2 - Proportion of contactable partners tested= 67.4% (standard 65% HCPv; 85% HCPv and IPR)DiscussionED HIV testing provides an opportunity to diagnose people who are unaware of their status. Partner notification amplifies this reach, allowing healthcare professionals to engage a population who may not be aware they are at risk of HIV, and is extremely effective with high test positivity. Current reported performance of PN is below national standards; however this is likely to improve over time with further follow up. Further examination is being undertaken to determine HCPv outcomes.ReferenceBritish Association for Sexual Health and HIV: HIV partner notification for adults: definitions, outcomes and standards. 2015. https://www.bashhguidelines.org/media/1070/hiv_partner_notification_standards_2015.pdf (accessed 23rd March 2023).
Publisher
BMJ Publishing Group LTD
Subject
