What are the CDC recommendations for HIV testing in correctional facilities?

Updated: Sep 19, 2018
  • Author: David J Cennimo, MD, FAAP, FACP, AAHIVS; Chief Editor: Michael Stuart Bronze, MD  more...
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In the United States, the CDC recommends “opt-out” testing for inmates in correctional facilities. [54]

Several opt-out approaches can be used for screening, discussed below.

Risk-based screening

High-risk behaviors include injection drug use; men who have sex with men (MSM); sex with an injection drug user, MSM, or HIV-infected partner, multiple sexual partners, exchange of sex for money or drugs, and diagnosis of another STD.

Clinical-based screening

This includes the following:

  • Pregnancy

  • History of tuberculosis infections

  • Presence of needle tracks

  • History of an STD

  • Signs or symptoms consistent with HIV

Demographic screening

This includes the following:

  • Residence in low-income or known high-prevalence area

  • Female sex

  • Age 25-44 years

  • Transgender

CDC also recommends that individuals at high risk of HIV infection be screened annually.

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