"HIV Infection Among Patients in U.S. Acute Care Hospitals" CDC Daily UpdateImportant note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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"HIV Infection Among Patients in U.S. Acute Care Hospitals"

New England Journal of Medicine (08/13/92) Vol. 327, No. 7, P. 445
Janssen, Robert S. et al.


Abstract: Providing voluntary HIV testing and counseling to hospital patients in areas with high rates of HIV/AIDS cases can potentially reach a large number of HIV-positive people who are unaware of their infection, write Robert S. Janssen et al. of the Centers for Disease Control in Atlanta, Ga. Patterns of HIV among patients in 20 U.S. hospitals were studied to evaluate possible national strategies for routine, voluntary HIV counseling and testing of hospital patients. Between September 1989 and October 1991, 9,286 of 195,829 specimens examined were positive for HIV-1 in the 20 hospitals. The seroprevalence of HIV at these institutions ranged from 0.2 percent to 14.2 percent. Of those with HIV, 32 percent had symptomatic HIV or AIDS at the time of admission or evaluation. In the 20 hospitals, the rate of HIV infection was 10.4 times the AIDS-diagnosis rate. The researchers found that about 225,000 HIV-positive individuals were hospitalized in all 5,558 such hospitals in 1990, including 163,000 persons with conditions other than HIV or AIDS. In 1990, in 593 U.S. hospitals with AIDS-diagnosis rates of 1.0 or more per 1,000 discharges, HIV testing of patients 15 to 54 years old would have detected approximately 68 percent of all HIV positive patients who were admitted with conditions other than HIV/AIDS.


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