Public Health
Infectious Diseases
Emergency Medicine
Cross-Disciplinary Pathway
Adolescent Medicine
Colleen Gutman, MD
Assistant Professor
Pediatrics
University of Florida
Gainesville, Florida, United States
Although rates of HIV infection declined in the United States for many years, recently the number of annual infections have plateaued since 2013, likely due to disparities in the delivery of effective treatment and prevention efforts. Adolescents and young adults continue to have high rates of HIV, comprising 21% of new HIV infections in 2017, and are often diagnosed late in their disease course. Additionally, youth are the least likely of any age group to be linked and retained in HIV care. Since 2006, the Center for Disease Control and Prevention has recommended opt-out HIV screening to be part of routine clinical care in all health-care settings starting at age 13, in order to increase early diagnosis and antiretroviral initiation and to decrease HIV transmission, morbidity, and mortality. More recently, the federal government has proposed Ending the HIV Epidemic: A Plan for America, which aims to achieve early HIV diagnosis and treatment and to utilize pre-exposure prophylaxis (PrEP) to prevent HIV transmission. Universal HIV screening has been successfully implemented in general emergency departments (EDs) and the pediatric ED has the potential to play a similar role in diagnosing HIV in adolescents. This session will focus on institutional successes and barriers in implementing universal HIV adolescent screening in the pediatric ED and will explore the role of the ED in identifying adolescent patients eligible for PrEP initiation services.
Presenter: Andres F. Camacho-Gonzalez, MD, MSc – Emory University School of Medicine
Presenter: Bijal Shah, MD – Emory School of Medicine
Presenter: Colleen Gutman, MD – University of Florida
Presenter: Sarah Wood, MD, MS – Children's Hospital of Philadelphia
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