A preliminary analysis of the performance of a targeted HIV electronic medical records alert system: A single hospital experience. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Naito, Toshio; Endo, Kanako; Fukushima, Shinichi; Suzuki, Mai; Fukui, Yukiko; Saita, Mizue; Yokokawa, Hirohide
• Is Part Of: Journal of infection and chemotherapy. Volume 27:Issue 1(2021)
• Page Start: 123
• Page End: 125
• Publication Date: 2021-01
• Subjects: HIV diagnosis -- Screening -- Electronic health records -- Electronic alert; EMR electronic medical records -- HBsAg hepatitis B surface antigen -- HCV hepatitis C virus -- HIV human immunodeficiency virus -- IgM-HAV IgM for hepatitis A virus -- MSM men who have sex with men -- PLWHA people living with HIV/AIDS -- STS serologic test of syphilis -- TPHA treponema pallidum hemagglutination -- UNAIDS United Nations Programme on HIV/AIDS; Chemotherapy -- Periodicals; Infection -- Periodicals; Communicable diseases -- Chemotherapy -- Periodicals; 615.5805
• DOI: 10.1016/j.jiac.2020.09.009
• Languages: English
• ISSNs: 1341-321X

Abstract

Abstract: Early treatment of HIV relies on a timely detection of the infection, but many people living with HIV/AIDS are unaware of their infection. In the current study, we applied an electronic medical records (EMR)-based alert system flagging high-risk patients previously diagnosed with infections of syphilis, hepatitis A virus, hepatitis B virus, and/or hepatitis C virus, and those aged 20–50 years with a prior diagnosis of shingles. During the study period (April to October 2019), a total of 47 individuals among 22, 264 patients visiting our department were identified as having high-risk of carrying HIV, and 14 of these individuals underwent HIV testing. Two males aged below 65 years with a previous diagnosis of syphilis were subsequently tested positive for HIV. This preliminary analysis of the EMR alert system facilitated the identification of high-risk people possibly carrying HIV, but the test rate remains to be improved.