A preliminary analysis of the performance of a targeted HIV electronic medical records alert system: A single hospital experience

J Infect Chemother. 2021 Jan;27(1):123-125. doi: 10.1016/j.jiac.2020.09.009. Epub 2020 Sep 30.

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.

Keywords: Electronic alert; Electronic health records; HIV diagnosis; Screening.

MeSH terms

  • Electronic Health Records
  • HIV Infections* / diagnosis
  • HIV Infections* / drug therapy
  • Hepatitis B*
  • Hepatitis C*
  • Hospitals
  • Humans
  • Male
  • Syphilis* / diagnosis