Important note: Information in this article was accurate in 2009. The state of the art may have changed since the publication date.
|
|
Pediatrics Vol. 124; No. 4: P. 1076-1084 (10..09) - Wednesday, November 04, 2009
Timothy D. Minniear, MD; Barry Gilmore, MD; Sandra R. Arnold, MD; Patricia M. Flynn, MD; Katherine M. Knapp, MD; Aditya H. Gaur, MD
The authors surveyed health care providers about their knowledge and beliefs about HIV, and they developed a protocol for free, opt-out HIV screening of patients. Five months after the study's launch, researchers deployed an automatic prompt in the electronic chart to address low testing rates.
In total, 118 health workers responded to the survey: 78 percent were unaware of CDC's revised HIV testing guidelines, and 58 percent predicted consent would be declined by the patient or guardian. Among 5,399 qualified patients, 37 percent (2002) were offered opt-out screening, and only 13 percent declined testing. Those offered screening were likelier than other patients to be older (age 15 or older; P=.002), female (P=.003), and nonwhite (P=.006). Patients age 15 and older were less likely to decline testing (P=.002). Testing rates improved with the automatic prompt. Among 1,735 tests, one yielded a positive result for HIV (0.57 per 1,000 tests).
"Adolescents and their guardians accept routine, opt-out HIV screening, regardless of gender or race, and a computerized reminder enhances screening," the authors concluded.
091104
AD091896
Copyright © 2009 - Information, Inc., Bethesda, MD. The CDC National Center for HIV, STD and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.
AEGiS is a 501(c)3, not-for-profit, tax-exempt, educational corporation. AEGiS is made possible through unrestricted funding from the Elton John AIDS Foundation, National Library of Medicine, AIDS Walk of Orange County, and donations from users like you.
Always watch for outdated information. This article first appeared in 2009. This material is designed to support, not replace, the relationship that exists between you and your doctor.AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.
Copyright ©1980, 2009. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content.
.