Universal opt-in HIV, HBV and HCV testing in an emergency department: implementation and outcomes of a comprehensive screening program

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Blood-borne viruses like HIV, HBV, and HCV pose significant public health challenges, with millions affected globally.
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Late diagnosis of BBVs hinders health outcomes; early testing is crucial for effective treatment and transmission reduction.
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Routine universal testing in emergency departments can improve case detection, especially in urban populations with limited healthcare access.
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In Berlin, the HIV prevalence is 0.4%, with a significant number of late diagnoses, highlighting the need for improved screening.
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A universal opt-in screening program for BBVs was implemented in a Berlin emergency department, aiming to enhance early diagnosis and reduce transmission.

Infection

by Kira Sophia Hülsdünker, David Grieser, Pascal Migaud, Daniela Drauz, Keikawus Arastéh, Hartmut Stocker
December 15, 2025

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