TY - CONF AU - González Del Castillo, J. AU - Llorens, P. AU - Trenc, P. AU - Piedrafita, L. AU - Cabrera, N. AU - Abellas, C. AU - Ángel Ramiro, M. AU - Pérez Elías, M.J. AU - Moreno, S. AU - García, F. AU - Javier Candel, F. AU - Vázquez Lima, M.J. AU - Miró, Ò. KW - Consentimiento KW - Diagnóstico precoz KW - Early diagnosis KW - Emergency department KW - HIV infection KW - Human immunodeficiency virus (HIV) KW - Infección por VIH KW - Información KW - Information KW - Informed consent KW - Servicios de Urgencias KW - Virus de la inmunodeficiencia humana (VIH) T1 - Nuevas recomendaciones de la Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) para el diagnóstico de infección por VIH en los servicios de urgencias a partir del análisis de resultados del programa “Deja tu Huella” TI - New recommendations of Spanish Society of Emergency Medicine (SEMES) for emergency department diagnosis of HIV infection based on results from Spain's "Leave Your Mark" program LA - spa PY - 2024/12/01/ SP - 447 EP - 459 T2 - Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias SN - 2386-5857 VL - 36 IS - 6 AB - TEXT: Hidden infections and late diagnoses are currently the main challenges of the HIV pandemic. Emergency departments (EDs) are one of the health care system's key resources addressing these challenges. In 2020, the Spanish Society of Emergency Medicine (SEMES) published recommendations for ordering HIV serology testing for patients with certain health conditions, and in 2021 SEMES launched the "Leave Your Mark" (Deja tu Huella - DTH) program to facilitate implementing the recommendations during emergency care. The present consensus paper, based on 3 years of experience with the program, was drafted to give new support to the DTH project. Participating hospitals ordered 129 617 serologies over 3 years, leading to 1620 new HIV diagnoses. One out of every 5 new HIV diagnoses in Spain is now made in an ED, but there is still room for improvement. To that end, this paper contributes 7 concrete proposals: 1) update the DTH program's criteria for ordering serology by including unexplained thrombocytopenia, fever with no focus of infection, and former residence in a country with endemic HIV infection; 2) include serology for hepatitis C virus infection at the time HIV testing is ordered; 3) reinforce the importance of obtaining the patient's informed consent for testing, meeting the obligation to respect the individual's rights; 4) implement educational programs; 5) develop decision-making tools (forms for ordering tests, alerts in patients' histories); 6) involve nurses in the DTH process and value their contributions; and 7) monitor quality markers to evaluate implementation of the program in all participating hospitals. The ultimate goal is to improve the DTH program and ensure its sustainability over time. DO - 10.55633/S3ME/094.2024 UR - https://portalcientifico.uah.es/documentos/67a8ab88504e7877e8369f8a DP - Dialnet - Portal de la Investigación ER -