{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:11:53Z","timestamp":1788174713031,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2018,3]]},"abstract":"\n Objectives<\/jats:title>\n \n To produce a summary of the published evidence of the barriers and facilitators for hospital\u2010based routine\n HIV<\/jats:styled-content>\n testing in high\u2010income countries.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Electronic databases were searched for studies, which described the offer of\n HIV<\/jats:styled-content>\n testing to adults attending emergency departments (\n ED<\/jats:styled-content>\n s) and acute medical units (\n AMU<\/jats:styled-content>\n s) in the\n UK<\/jats:styled-content>\n and\n US<\/jats:styled-content>\n , published between 2006 and 2015. Other high\u2010income countries were not included, as their guidelines do not recommend routine testing for\n HIV<\/jats:styled-content>\n . The main outcomes of interest were\n HIV<\/jats:styled-content>\n testing uptake,\n HIV<\/jats:styled-content>\n testing coverage, factors facilitating\n HIV<\/jats:styled-content>\n screening and barriers to\n HIV<\/jats:styled-content>\n testing. Fourteen studies met the pre\u2010defined inclusion criteria and critically appraised using mixed methods appraisal tool (\n MMAT<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n HIV<\/jats:styled-content>\n testing coverage ranged from 9.7% to 38.3% and 18.7% to 26% while uptake levels were high (70.1\u201384% and 53\u201375.4%) in the\n UK<\/jats:styled-content>\n and\n US<\/jats:styled-content>\n , respectively. Operational barriers such as lack of time, the need for training and concerns about giving results and follow\u2010up of\n HIV<\/jats:styled-content>\n positive results, were reported. Patient\u2010specific factors including female sex, old age and low risk perception correlated with refusal of\n HIV<\/jats:styled-content>\n testing. Factors that facilitated the offer of\n HIV<\/jats:styled-content>\n testing were venous sampling (\n vs<\/jats:italic>\n . point\u2010of\u2010care tests), commitment of medical staff to\n HIV<\/jats:styled-content>\n testing policy and support from local\n HIV<\/jats:styled-content>\n specialist providers.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n There are several barriers to routine\n HIV<\/jats:styled-content>\n testing in\n ED<\/jats:styled-content>\n s and\n AMU<\/jats:styled-content>\n s. Many of these stem from staff fears about offering\n HIV<\/jats:styled-content>\n testing due to the perceived lack of knowledge about\n HIV<\/jats:styled-content>\n . Our systematic review highlights areas which can be targeted to increase coverage of routine\n HIV<\/jats:styled-content>\n testing.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hiv.12568","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T04:18:43Z","timestamp":1511410723000},"page":"195-205","source":"Crossref","is-referenced-by-count":15,"title":["Hospital\u2010based routine\n HIV<\/scp>\n testing in high\u2010income countries: a systematic literature review"],"prefix":"10.1111","volume":"19","author":[{"given":"A","family":"Elgalib","sequence":"first","affiliation":[{"name":"Directorate General for Disease Surveillance and Control Ministry of Health Muscat Oman"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Fidler","sequence":"additional","affiliation":[{"name":"Department of HIV Medicine Imperial College NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Sabapathy","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology London School of Hygiene & Tropical Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,23]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"UNAIDS 2016.AIDS DATA.http:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2016-AIDS-data_en.pdf(accessed 05 May 2017)."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001335"},{"key":"e_1_2_7_4_1","unstructured":"Public Health England.HIV in the United Kingdom: 2016 report.https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/602942\/HIV_in_the_UK_report.pdf(accessed 05 May 2017)."},{"key":"e_1_2_7_5_1","unstructured":"HIV in the United States: At A Glance.https:\/\/www.cdc.gov\/hiv\/statistics\/overview\/ataglance.html(accessed 06 May 2017)."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.8-3-250"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000151079.33935.79"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000233579.79714.8d"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1293.2004.00193.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.182790"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2008.0193"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000194617.91454.3f"},{"key":"e_1_2_7_13_1","first-page":"1269","article-title":"Missed opportunities for earlier diagnosis of HIV infection\u2013South Carolina, 1997\u20132005","volume":"55","author":"Centers for Disease Control and Prevention (CDC)","year":"2006","journal-title":"Morb Mortal Wkly Rep"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcq236"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3282f1d4b6"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3182a21611"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.03.001"},{"key":"e_1_2_7_18_1","unstructured":"BHIVA.UK National Guidelines for HIV Testing 2008.http:\/\/www.bhiva.org\/HIV-testing-guidelines.aspx 2008. 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