Abstract
Test and Rapid Response Treatment (TRRT) linkage programs have demonstrated improved HIV suppression rates. This paper describes the design and implementation of the Miami TRRT initiative and its clinical impact. Assisted by a dedicated care navigator, patients receiving a reactive HIV rapid test at the Florida Department of Health STD Clinic were offered same-day HIV care at the University of Miami/Jackson Memorial Medical Center Adult HIV Outpatient Clinic. Patient retention and labs were tracked for 12 months. Of the 2337 individuals tested, 46 had a reactive HIV test; 41 (89%) consented to participate. For the 36 patients in continued care for a year, 33 (91.7%) achieved virological suppression (< 200 copies/mL) within 70 days of their reactive HIV rapid test; at 12 months, 35 (97.2%) remained suppressed, and mean CD4 T cell counts increased from 452 ± 266 to 597 ± 322 cells/mm3. The Miami TRRT initiative demonstrated that immediate linkage to care is feasible and improves retention and suppression in a public/academic medical center in the U.S. South.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 287-295 |
| Number of pages | 9 |
| Journal | AIDS and Behavior |
| Volume | 23 |
| DOIs | |
| State | Published - Oct 1 2019 |
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Keywords
- Linkage
- Rapid treatment
- Retention
- Suppression
ASJC Scopus subject areas
- Social Psychology
- Public Health, Environmental and Occupational Health
- Infectious Diseases
Cite this
Implementation of an Immediate HIV Treatment Initiation Program in a Public/Academic Medical Center in the U.S. South : The Miami Test and Treat Rapid Response Program. / Rodriguez, Allan E.; Wawrzyniak, Andrew J.; Tookes, Hansel E.; Vidal, Marcia G.; Soni, Manasi; Nwanyanwu, Rita; Goldberg, David; Freeman, Rachel; Villamizar, Kira; Alcaide, Maria L.; Kolber, Michael A.
In: AIDS and Behavior, Vol. 23, 01.10.2019, p. 287-295.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Implementation of an Immediate HIV Treatment Initiation Program in a Public/Academic Medical Center in the U.S. South
T2 - The Miami Test and Treat Rapid Response Program
AU - Rodriguez, Allan E.
AU - Wawrzyniak, Andrew J.
AU - Tookes, Hansel E.
AU - Vidal, Marcia G.
AU - Soni, Manasi
AU - Nwanyanwu, Rita
AU - Goldberg, David
AU - Freeman, Rachel
AU - Villamizar, Kira
AU - Alcaide, Maria L.
AU - Kolber, Michael A.
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Test and Rapid Response Treatment (TRRT) linkage programs have demonstrated improved HIV suppression rates. This paper describes the design and implementation of the Miami TRRT initiative and its clinical impact. Assisted by a dedicated care navigator, patients receiving a reactive HIV rapid test at the Florida Department of Health STD Clinic were offered same-day HIV care at the University of Miami/Jackson Memorial Medical Center Adult HIV Outpatient Clinic. Patient retention and labs were tracked for 12 months. Of the 2337 individuals tested, 46 had a reactive HIV test; 41 (89%) consented to participate. For the 36 patients in continued care for a year, 33 (91.7%) achieved virological suppression (< 200 copies/mL) within 70 days of their reactive HIV rapid test; at 12 months, 35 (97.2%) remained suppressed, and mean CD4 T cell counts increased from 452 ± 266 to 597 ± 322 cells/mm3. The Miami TRRT initiative demonstrated that immediate linkage to care is feasible and improves retention and suppression in a public/academic medical center in the U.S. South.
AB - Test and Rapid Response Treatment (TRRT) linkage programs have demonstrated improved HIV suppression rates. This paper describes the design and implementation of the Miami TRRT initiative and its clinical impact. Assisted by a dedicated care navigator, patients receiving a reactive HIV rapid test at the Florida Department of Health STD Clinic were offered same-day HIV care at the University of Miami/Jackson Memorial Medical Center Adult HIV Outpatient Clinic. Patient retention and labs were tracked for 12 months. Of the 2337 individuals tested, 46 had a reactive HIV test; 41 (89%) consented to participate. For the 36 patients in continued care for a year, 33 (91.7%) achieved virological suppression (< 200 copies/mL) within 70 days of their reactive HIV rapid test; at 12 months, 35 (97.2%) remained suppressed, and mean CD4 T cell counts increased from 452 ± 266 to 597 ± 322 cells/mm3. The Miami TRRT initiative demonstrated that immediate linkage to care is feasible and improves retention and suppression in a public/academic medical center in the U.S. South.
KW - Linkage
KW - Rapid treatment
KW - Retention
KW - Suppression
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UR - http://www.scopus.com/inward/citedby.url?scp=85073579656&partnerID=8YFLogxK
U2 - 10.1007/s10461-019-02655-w
DO - 10.1007/s10461-019-02655-w
M3 - Article
C2 - 31520241
AN - SCOPUS:85073579656
VL - 23
SP - 287
EP - 295
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
ER -