{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:46:09Z","timestamp":1792572369202,"version":"4.5.0"},"reference-count":0,"publisher":"Sociedad Espanola de Quimioterapia","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Esp Quimioter"],"abstract":"<jats:p>Objective: To estimate the frequency of HIV serology requests in emergency departments (EDs) in Spain for patients with sexually transmitted infections (STIs), its longitudinal evolution (2018\u20132024), and associated factors.\n\nMethods: Multi-center study including all patients diagnosed with an STI across 14 EDs in 8 Spanish autonomous communities. Demographics, specific STI diagnoses, prior HIV testing, and HIV serology requested during ED care were recorded. Differences and temporal trends were analyzed.\n\nResults: Among 35,845 STI cases (median age 34 years; 60% men; 74% Spanish; 2% previously tested for HIV), HIV serology was requested in 5,462 (15%), yielding 253 (4.6%) positive results. Main diagnoses included orchiepididymitis (24.9%), vulvovaginitis (16.4%), and non-specific urethritis (12.4%). HIV testing increased significantly from 5.3% in 2018 to 20.7% in 2024 (p &lt; 0.001). Higher testing likelihood was associated with younger age (aOR 0.97 per year, 95% CI 0.97\u20130.97), male sex (aOR 3.83, 95% CI 3.35\u20134.37), prior HIV testing (aOR 1.44, 95% CI 1.08\u20131.92), and more recent years (aOR 1.34 per year, 95% CI 1.30\u20131.38). Testing rates varied significantly by specific STI, with higher probabilities in risk exposure, suspected STI, and urethritis but lower probabilities in orchiepididymitis, vulvovaginitis, and genital herpes.\n\nConclusions: HIV screening among patients presenting with STIs in Spanish EDs remains low (15%), despite a significant upward trend over time. Disparities based on age, sex, and specific STI presentation highlight the need for universal HIV screening protocols across all ED patients diagnosed with an STI.<\/jats:p>","DOI":"10.37201\/req\/248.2026","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:36:42Z","timestamp":1792571802000},"source":"Crossref","is-referenced-by-count":0,"title":["HIV screening in patients diagnosed with sexually transmitted infections in Spanish emergency departments"],"prefix":"10.37201","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9901-2487","authenticated-orcid":false,"given":"Octavio Jos\u00e9","family":"Salmer\u00f3n-B\u00e9liz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d2scar","family":"Mir\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Braojos-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Hoyos-Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Mir\u00f3-Andreu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Trenc-Espa\u00f1ol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Teresa","family":"S\u00e1nchez-Moreno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Llaneras-Artigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Navarro-Bustos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio Javier","family":"Gamazo-del R\u00edo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"\u00c1lvarez-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4329-9802","authenticated-orcid":false,"given":"Juan","family":"Gonz\u00e1lez-del Castillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"23328","published-online":{"date-parts":[[2026,10,21]]},"container-title":["Revista Espa\u00f1ola de Quimioterapia"],"original-title":[],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:36:42Z","timestamp":1792571802000},"score":1,"resource":{"primary":{"URL":"https:\/\/revespquimioterapia.com\/articulo\/hiv-screening-in-patients-diagnosed-with-sexually-transmitted-infections-in-spanish-emergency-departments-634248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,10,21]]}},"URL":"https:\/\/doi.org\/10.37201\/req\/248.2026","relation":{},"ISSN":["0214-3429","1988-9518"],"issn-type":[{"value":"0214-3429","type":"print"},{"value":"1988-9518","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]}}}