Ml Rayment

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OBJECTIVES UK guidelines recommend routine HIV testing in general clinical settings when the local HIV prevalence is > 0.2%. During pilot programmes evaluating the guidelines, we used laboratory-based testing of oral fluid from patients accepting tests. Samples (n = 3721) were tested manually using the Bio-Rad Genscreen Ultra HIV Ag-Ab test (Bio-Rad(More)
OBJECTIVES Routine HIV testing in nonspecialist settings has been shown to be acceptable to patients and staff in pilot studies. The question of how to embed routine HIV testing, and make it sustainable, remains to be answered. METHODS We established a service of routine HIV testing in an emergency department (ED) in London, delivered by ED staff as part(More)
Q1 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 Anderson and colleagues recently reported in this Journal an association between HIV infection and hospitalisation due to rotavirus infection. Similar links have been observed between(More)
OBJECTIVES Tenofovir disoproxil fumarate (TDF) is widely used in the treatment or prevention of HIV and hepatitis B infection. TDF may cause renal tubulopathy in a small proportion of recipients. We aimed to study the risk factors for developing severe renal tubulopathy. METHODS We conducted an observational cohort study with retrospective identification(More)
of results Of 1388 age-eligible patients admitted, 716 (52%) were approached. 163 (23%) were clinically ineligible to test. Of the 552 patients offered an HIV test, 383 accepted (Uptake: 69%). Four patients were newly diagnosed as HIV positive (1.04% [95%CI: 0.29 — 2.66%]) and all were transferred to care. A further two individuals were diagnosed via(More)
OBJECTIVES Levels of undiagnosed HIV infection and late presentation remain high globally despite attempts to increase testing. The objective of this study was to evaluate a risk-based prototype application to prompt HIV testing when patients undergo routine blood tests. METHODS Two computer physician order entry (CPOE) systems were modified using the(More)
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