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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing</title><author><name sortKey="Wanyenze, Rhoda K" sort="Wanyenze, Rhoda K" uniqKey="Wanyenze R" first="Rhoda K." last="Wanyenze">Rhoda K. Wanyenze</name></author><author><name sortKey="Hahn, Judith A" sort="Hahn, Judith A" uniqKey="Hahn J" first="Judith A." last="Hahn">Judith A. Hahn</name></author><author><name sortKey="Liechty, Cheryl A" sort="Liechty, Cheryl A" uniqKey="Liechty C" first="Cheryl A." last="Liechty">Cheryl A. Liechty</name></author><author><name sortKey="Ragland, Kathie" sort="Ragland, Kathie" uniqKey="Ragland K" first="Kathie" last="Ragland">Kathie Ragland</name></author><author><name sortKey="Ronald, Allan" sort="Ronald, Allan" uniqKey="Ronald A" first="Allan" last="Ronald">Allan Ronald</name></author><author><name sortKey="Mayanja Kizza, Harriet" sort="Mayanja Kizza, Harriet" uniqKey="Mayanja Kizza H" first="Harriet" last="Mayanja-Kizza">Harriet Mayanja-Kizza</name></author><author><name sortKey="Coates, Thomas" sort="Coates, Thomas" uniqKey="Coates T" first="Thomas" last="Coates">Thomas Coates</name></author><author><name sortKey="Kamya, Moses R" sort="Kamya, Moses R" uniqKey="Kamya M" first="Moses R." last="Kamya">Moses R. Kamya</name></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20431933</idno><idno type="pmc">3082586</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3082586</idno><idno type="RBID">PMC:3082586</idno><idno type="doi">10.1007/s10461-010-9704-1</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001126</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001126</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing</title><author><name sortKey="Wanyenze, Rhoda K" sort="Wanyenze, Rhoda K" uniqKey="Wanyenze R" first="Rhoda K." last="Wanyenze">Rhoda K. Wanyenze</name></author><author><name sortKey="Hahn, Judith A" sort="Hahn, Judith A" uniqKey="Hahn J" first="Judith A." last="Hahn">Judith A. Hahn</name></author><author><name sortKey="Liechty, Cheryl A" sort="Liechty, Cheryl A" uniqKey="Liechty C" first="Cheryl A." last="Liechty">Cheryl A. Liechty</name></author><author><name sortKey="Ragland, Kathie" sort="Ragland, Kathie" uniqKey="Ragland K" first="Kathie" last="Ragland">Kathie Ragland</name></author><author><name sortKey="Ronald, Allan" sort="Ronald, Allan" uniqKey="Ronald A" first="Allan" last="Ronald">Allan Ronald</name></author><author><name sortKey="Mayanja Kizza, Harriet" sort="Mayanja Kizza, Harriet" uniqKey="Mayanja Kizza H" first="Harriet" last="Mayanja-Kizza">Harriet Mayanja-Kizza</name></author><author><name sortKey="Coates, Thomas" sort="Coates, Thomas" uniqKey="Coates T" first="Thomas" last="Coates">Thomas Coates</name></author><author><name sortKey="Kamya, Moses R" sort="Kamya, Moses R" uniqKey="Kamya M" first="Moses R." last="Kamya">Moses R. Kamya</name></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-title>AIDS and behavior</journal-title><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">20431933</article-id><article-id pub-id-type="pmc">3082586</article-id><article-id pub-id-type="doi">10.1007/s10461-010-9704-1</article-id><article-id pub-id-type="manuscript">NIHMS272406</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Linkage to HIV Care and Survival Following Inpatient HIV Counseling and Testing</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Wanyenze</surname><given-names>Rhoda K.</given-names></name><aff id="A1">Makerere University School of Public Health, P.O. Box 7072, Kampala, Uganda</aff><email>rwanyenze@hotmail.com</email></contrib><contrib contrib-type="author"><name><surname>Hahn</surname><given-names>Judith A.</given-names></name><aff id="A2">University of California, San Francisco, CA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Liechty</surname><given-names>Cheryl A.</given-names></name><aff id="A3">Glen Cove Internal Medicine, Rockport, ME, USA</aff></contrib><contrib contrib-type="author"><name><surname>Ragland</surname><given-names>Kathie</given-names></name><aff id="A4">University of California, San Francisco, CA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Ronald</surname><given-names>Allan</given-names></name><aff id="A5">Infectious Diseases Institute, Kampala, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Mayanja-Kizza</surname><given-names>Harriet</given-names></name><aff id="A6">Makerere University School of Medicine, Kampala, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Coates</surname><given-names>Thomas</given-names></name><aff id="A7">University of California, Los Angeles, CA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Kamya</surname><given-names>Moses R.</given-names></name><aff id="A8">Makerere University School of Medicine, Kampala, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Bangsberg</surname><given-names>David R.</given-names></name><aff id="A9">Massachusetts General Hospital Center for Global Health, Harvard Medical School, Boston, MA, USA</aff></contrib></contrib-group><pub-date pub-type="nihms-submitted"><day>11</day><month>2</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>5</month><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>5</month><year>2011</year></pub-date><volume>15</volume><issue>4</issue><fpage>751</fpage><lpage>760</lpage><abstract><p id="P1">Linkage to HIV care and survival in sub-Saharan Africa is not well documented. In 2004 we conducted a randomized trial among medical inpatients in Mulago Hospital to assess the impact of HIV counseling and testing (HCT) on linkage to care and survival. Participants were randomized to inpatient HCT (intervention) or outpatient HCT 1 week post-discharge (control); inpatient HCT was not available at Mulago during the study. Among 590 eligible patients, 85% (500) agreed to participate; 98.8% (248) in the intervention arm received HCT compared to 68.7% (171) in the control arm. Within 6 months, 62.2% (92) of surviving HIV-infected participants received HIV care; 15.0% (20) received antiretroviral medications (ARVs). Overall mortality among HIV-infected participants was 34.6% (72). HCT had significant impact on linkage to care among surviving participants. Referral for HCT was a missed opportunity for diagnosis. There is need for earlier diagnosis and linkage to HIV care among inpatients.</p></abstract><kwd-group><kwd>Provider Initiated HIV Testing and Counseling (PITC)</kwd><kwd>Inpatient</kwd><kwd>Access to care</kwd><kwd>Survival</kwd><kwd>Africa</kwd></kwd-group><contract-num rid="MH1">R01 MH077512-05
||MH</contract-num><contract-num rid="MH1">R01 MH077512-04
||MH</contract-num><contract-num rid="MH1">R01 MH077512-03
||MH</contract-num><contract-num rid="MH1">R01 MH077512-02
||MH</contract-num><contract-num rid="MH1">R01 MH077512-01A1
||MH</contract-num><contract-sponsor id="MH1">National Institute of Mental Health : NIMH</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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