Publications by authors named "Delissa T Hand"

Article Synopsis
  • Behavioral factors heighten the risk of HIV, prompting a comprehensive prevention services (CPS) intervention in an emergency department (ED) to assess patients' risk and provide referrals.
  • A study conducted in Birmingham, Alabama, from October 2021 to May 2023 involved two screening methods (manual review and electronic medical records) to identify HIV-negative adults with recent risk factors, such as STIs or drug use.
  • Out of 184 patients approached, 147 engaged with the program, with 125 identified at risk for HIV; notable outcomes included interest in CPS follow-up and 30 patients receiving ED-initiated treatment, highlighting the effectiveness of targeted screening in managing HIV risk.
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The emergency department (ED) has increasingly become an important public health partner in non-targeted hepatitis C virus (HCV) testing and referral to care efforts. HCV has traditionally been an infection associated with the Baby Boomer generation; however, recent exacerbation of the opioid epidemic has resulted in a growing number of younger cohorts, namely Millennials, also impacted by HCV. Examination of this age-related demographic shift, including subsequent linkage success and linkage barriers, from the perspective of an ED-based testing and linkage programme may have implications for future population and health systems interventions.

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Introduction: The role of the Emergency Department (ED) as a vital constituent in Hepatitis C (HCV) screening has become increasingly evident. A key component of the ED's role in HCV screening is the ability to effectively link HCV-RNA positive patients to definitive, HCV-specific care, to include direct-acting antiviral (DAA) medication with resultant sustained virologic response (SVR). We sought to consider the rate of HCV-specific linkage, DAA initiation, and SVR obtained in HCV patients identified from an ED screening program.

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Hepatitis C virus (HCV) surveillance is a critical component of a comprehensive strategy to prevent and control HCV infection and HCV-related chronic liver disease. The emergency department (ED) has been increasingly recognized as a vital partner in HCV testing and linkage. We sought to consider active RNA HCV viremia over time in patients participating in an ED-based testing programme as a measure of local HCV surveillance and as a barometer of ED-testing programme impact.

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