HIV Testing in the Emergency Department

  • Malcolm HoshiEmail author
  • Joshua Niforatos
  • Justin Yax
  • Jonathan Glauser
Infectious Disease (J Glauser, Section Editor)
Part of the following topical collections:
  1. Infectious Disease


Purpose of Review

This review explores data from the past 5 years with regard to HIV testing and diagnosis in the emergency department, as well downstream linkage to care and several adjuvant approaches. We offer perspectives on futures directions for care.

Recent Findings

There are many approaches to HIV testing in the ED. The largest overarching question is that of testing strategies (universal vs targeted, opt in vs out), where data is mixed and there is a lack of randomized control trials. Other studies address different aspects of ED testing, including where to integrate testing into ED workflow, and supplementary approaches such as electronic tablets.


In the USA, the emergency department plays a unique role in healthcare and is positioned to offer significant benefits to HIV testing and diagnosis. There are many ways to improve HIV testing rates, and we await further controlled trials to determine an optimal approach.


HIV testing Emergency department Review 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Malcolm Hoshi
    • 1
    • 2
    Email author
  • Joshua Niforatos
    • 3
  • Justin Yax
    • 1
    • 2
    • 4
  • Jonathan Glauser
    • 1
    • 2
  1. 1.Department of Emergency Medicine, MetroHealth Medical CenterClevelandUSA
  2. 2.Case Western Reserve UniversityClevelandUSA
  3. 3.Cleveland Clinic Lerner College of MedicineClevelandUSA
  4. 4.University Hospitals Cleveland Medical CenterClevelandUSA

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