Northern Nevada's most utilized emergency department (ED) could represent a locale of missed opportunity for human immunodeficiency virus (HIV) detection, as the ED serves as a source of primary care for many patients at risk for HIV infection. The authors conducted a retrospective chart review, through the electronic health record, evaluating new diagnoses of HIV between 2012 and 2017 within a single hospital system. An opportunity for prior detection of HIV in the hospital's adult ED, within the past 5 years, was recorded as a missed testing opportunity (MTO). Out of 46 new HIV diagnoses at this hospital for a 5-year period, 19 patients with at least one MTO were identified. Eight of these patients with an MTO were diagnosed with acquired immunodeficiency syndrome (AIDS) concomitant with detection of their HIV status. Encouraging earlier HIV detection in the ED could reduce transmission, mortality, and health care expenditures.

中文翻译：

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社区急诊科的 HIV 阳性成人错失检测机会

内华达州北部使用最多的急诊科 (ED) 可能代表一个错过人体免疫缺陷病毒 (HIV) 检测机会的场所，因为急诊科是许多有 HIV 感染风险的患者的初级保健来源。作者通过电子健康记录进行了回顾性图表审查，评估了 2012 年至 2017 年间在单一医院系统内新诊断出的 HIV。在过去 5 年内，在医院的成人 ED 中预先检测到 HIV 的机会被记录为错过的检测机会 (MTO)。在这家医院 5 年期间的 46 例新 HIV 诊断中，有 19 名患者至少患有一种 MTO。这些患有 MTO 的患者中有 8 名被诊断出患有获得性免疫缺陷综合征 (AIDS)，同时检测到他们的 HIV 状态。