CDC Recommends Routine HIV Screening

By Finn, Robert | Clinical Psychiatry News, November 2006 | Go to article overview

CDC Recommends Routine HIV Screening


Finn, Robert, Clinical Psychiatry News


The Centers for Disease Control and Prevention has recommended that voluntary HIV screening be a routine part of medical care for all patients between the ages of 13 and 64 years.

The recommendations are intended to simplify the HIV testing process in health care settings and to increase HIV diagnosis among an estimated 250,000 Americans who are HIV positive but remain unaware of their infection.

"There are some things that never should happen," Dr. Julie L. Gerberding, the CDC's director, said during a press briefing. "No child in the United States should be HIV infected from birth. No person in the United States should [lack] access to treatment or diagnosis. And ultimately no person in the United States should acquire HIV infection."

Studies show that almost 40% of individuals diagnosed with HIV receive that diagnosis within a year of the infection progressing to AIDS, and presumably about 10 years after they were initially infected. Often, this is too late for them to fully benefit from treatment.

Furthermore, it is estimated that people who are unaware of their infection account for 50%-70% of new sexually transmitted HIV infections. People who are aware of their HIV infections typically take steps to protect their partners.

The recommendations, published in September, are intended for any health care facility in the public or private sector that currently conducts diagnostic testing or screening. These facilities include hospital emergency departments, urgent care clinics, inpatient services, substance abuse treatment clinics, public health clinics, community clinics, correctional health care facilities, and primary care settings (MMWR 2006; 55: No. RR-14).

The new recommendations do not apply to nonclinical settings, such as community centers or outreach programs.

Earlier recommendations, published in 1993 and 2001, called for HIV testing in patients with known risk factors or in communities with HIV prevalence rates above 1%.

But many facilities do not have information on local HIV prevalence, and many providers report that they do not have time to conduct risk assessments.

Requirements for separate written consent for HIV testing and for pretest counseling also placed barriers in the path of testing.

The new recommendations mandate a voluntary "opt-out" approach, in which patients would be specifically informed that HIV testing is part of routine care. All patients would be screened regardless of risk, pretest counseling would not be required, and posttest counseling would generally be required only for patients with a positive test result. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

CDC Recommends Routine HIV Screening
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.