ORAQUICK RAPID HIV TEST

Medical Center of Louisiana

Cynthia Eicher, MHS MT(ASCP)SBBDenise Friloux, RN, BSN, CIC

Getting Started:Who was at the table:•Laboratory Leadership•Registration•IT •Patient Billing•Emergency Room Leadership (RN and MD)•HOP clinic leadership•Infection Control

Timeline

• Pre implementation Meetings – Nov 2007• Planning Meetings Nov- January 2007• Kick Off – 02/12/07 in ED• Biweekly check in meetings for refinement• Modifications – oral fluid specimens added

4/16/08

Overall – 3 months from contemplation to implementation

ED Approach

• Promoted at triage

• Collected in the E.D.

• Processed in the Blood Bank

• Posted in CLIQ

• Results delivered and need for f/u with Western Blot if initial oral fluid positive

• Infection Control f/u with WB results counseling

HOP clinic

• Significant others only

• Clinician offers

• Quick registration process

• Health educators perform the test

• If positive, Western Blot drawn and sent to the lab

• Infection Control f/u with WB results counseling

Considerations

• Laboratory oversight

• Training and education of staff

• Notification of results and follow up

• Patient referral information

• Oversight of quality

Quarter Confirmed Reactive

% Pos Blood Oral Fluid

Total ORAQs

Initial Reactive

% Pos

02/12/08-03/31/08 7 2.59 270 270 8 2.97

04/01/08-06/30/08 40 2.3 330 1411* 1741 54 3.10

Total 47 2.34 600 1411 2011 62 3.08

*oral fluid specimens began 04/16/08

Statistics

Feb. 12 – June 302008

TOTALS

# Patients Notified of Western Blot (WB) result

51

# Patients With Confirmed Positive

47

# New Diagnosis 31 (66%)

% Confirmed Patients Notified

84% (44/47)

# Evidence of follow-up care

37(28 MCL + 9 Other)

No evidence of follow- up care 7

INFECTION PREVENTION & CONTROL STATS: PATIENT FOLLOW-UP STATUS

Successes

• MCL has higher seropositivity (2.34%) than any other OPH-sponsored testing site (highest 1.5%) and all other HIV testing sites (overall .91%) in the metropolitan area.

• We are offering a service to our patients and helping people with HIV get into care.

Acknowledgments

• Louisiana Office of Public Health HIV/AIDS Program – CDC funded: Fall 2007 for 3 years

• Blood Bank staff• Infection Control Staff• Lab Core Group staff• Emergency and HOP staff• MCL and HQ Registration staff• MCL and HQ IT staff• Michael Heath – OraSure Technologies

GET TESTED!!!