What are the AAP recommendations for HIV testing in adolescents?

Updated: Sep 19, 2018
  • Author: David J Cennimo, MD, FAAP, FACP, AAHIVS; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Nationwide, 46% of high school students had had sexual intercourse and 13.8% of students had had sexual intercourse with four or more persons during their life. Despite the recommendation detailed above, only 13% of sexually active adolescents have ever been tested for HIV infection. [20]

In an attempt to increase the number of adolescents tested, the American Academy of Pediatrics [21] recently released the following recommendations for HIV testing in this population:

  • Routine HIV screening should be offered to all adolescents at least once by age 16-18 years in health care settings when the prevalence of HIV infection in the patient population is more than 0.1%; if the prevalence is less than 0.1%, adolescents who are sexually active and have other risk factors (eg, substance abuse) should undergo routine testing

  • High-risk youth should be tested annually for HIV infection; adolescents tested for other STDs should be tested for HIV infection at the same visit.


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