Targeted screening for human immunodeficiency virus infection in Spanish emergency departments: an analysis of epidemiologic and economic impact.

The impact of current clinical practices in Spain, in which there is no established protocol for HIV screening, was compared to the potential impact of applying a targeted screening protocol in persons who come to the ED with certain conditions suggestive of HIV infection (diagnosis of a sexually transmitted infection, mononucleosis, herpes zoster infection, community-acquired pneumonia; practice of chemsex, and need for postexposure prophylaxis).

Results: Screening all persons with a condition suggestive of HIV infection in hospital EDs would require an investment of €20 million over 20 years, but it would prevent 13 615 new infections (reducing the incidence by 20.6%, down from 66 265 to 52 650 cases) in comparison with the current diagnostic approaches. Such a reduction in the incidence of HIV infection would potentially save €4411 million over 20 years, giving a return of €224 per euro invested.

Conclusion: A protocol for targeted screening of persons in circumstances suggestive of risk for HIV infection in Spain would increase diagnoses, avert new infections, and generate savings in comparison with screening practices currently in effect.


Moltó J, et al. Targeted screening for human immunodeficiency virus infection in Spanish emergency departments: an analysis of epidemiologic and economic impact. Emergencias 2022;34:21-28.

Jornada INFURG-SEMES 2024 Dra. del Pino

Congreso Conceptos 2023

Jornada INFURG-SEMES 2024 Dra. Carrasquel

Jornadas Casos Clínicos 2023 Dr. González del Castillo

Jornadas Casos Clínicos 2023 Dra. Mora

Jornadas Casos Clínicos 2023 Dra. Valle

Track Infurgsemes – Congreso Sevilla 2024

Jornada INFURG-SEMES 2024 Dra. Trenc

Países con elevada prevalencia de VIH

África sub-sahariana: Angola, Benín, Botsuana, Burkina Faso, Burundi, Camerún, Chad, Congo, Costa de Marfil, Etiopía, Guinea Ecuatorial, Gabón, Gambia, Ghana, Guinea, Guinea-Bissau, Kenia, Lesoto, Malawi, Mali, Mauritania, Mozambique, Namibia, Nigeria, República Central Africana, República Unida de Tanzania, Ruanda, Sierra Leona, Sudáfrica, Sudán del Sur, Suazilandia, Tanzania, Togo, Uganda, Zambia, Zimbabue.
Europa Central y del Este: Estonia.
Sur y sudeste asiático: Tailandia.
Oriente Medio y Norte de África: Djibuti.
Caribe: Bahamas, Haití, Jamaica, Trinidad-Tobago.
Latinoamérica: Belice, Guyana. 

Jornada INFURG-SEMES 2024 Dr. Villamor