@article{a3403aa990684e4c85c0239714638b6d,
title = "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",
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.",
keywords = "Linkage, Rapid treatment, Retention, Suppression",
author = "Rodriguez, {Allan E.} and Wawrzyniak, {Andrew J.} and Tookes, {Hansel E.} and Vidal, {Marcia G.} and Manasi Soni and Rita Nwanyanwu and David Goldberg and Rachel Freeman and Kira Villamizar and Alcaide, {Maria L.} and Kolber, {Michael A.}",
note = "Funding Information: Activities were conducted with the support of the University of Miami Miller School of Medicine Center for AIDS Research, funded by an NIH Grant, P30AI073961. Additionally, this project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant #H97HA27433, Special Projects of National Significance, (Total Awarded: $1,199,153, 0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. Funding Information: Activities were conducted with the support of the University of Miami Miller School of Medicine Center for AIDS Research, funded by an NIH Grant, P30AI073961. Additionally, this project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant #H97HA27433, Special Projects of National Significance, (Total Awarded: Activities were conducted with the support of the University of Miami Miller School of Medicine Center for AIDS Research, funded by an NIH Grant, P30AI073961. Additionally, this project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant #H97HA27433, Special Projects of National Significance, (Total Awarded: $1,199,153, 0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government. Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2019",
month = oct,
day = "1",
doi = "10.1007/s10461-019-02655-w",
language = "English (US)",
volume = "23",
pages = "287--295",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
}