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Late HIV diagnosis is the most important predictor of HIV-related morbidity and mortality in the UK and often results from missed testing opportunities during earlier contact with health services. The HPA now recommends routine HIV testing be commissioned as a priority for all general medical admissions in high prevalence areas, such as Milton Keynes. We present the case of a patient admitted to our Medical Admissions Unit (MAU) managed initially for presumed septic complications of metastatic disease who was later found to have terminal HIV disease. In keeping with UK-wide experience which we review, a local audit following this case found MAU HIV test coverage increased after routine testing but not after staff education alone, and resulted in implementation of routine HIV testing in our MAU.

Type

Journal article

Journal

Acute medicine

Publication Date

01/2016

Volume

15

Pages

84 - 87

Addresses

MSc, MRCP, DTM&H, Oxford University Hospitals.

Keywords

Humans, HIV Infections, HIV Seropositivity, Neoplasm Metastasis, Diagnosis, Differential, Diagnostic Tests, Routine, Mass Screening, Serologic Tests, Hospitalization, Patient Admission, Prevalence, Adult, Male, Delayed Diagnosis, United Kingdom