What are the recommendations for HIV screening?

Updated: Jul 01, 2019
  • Author: Nicholas John Bennett, MBBCh, PhD, MA(Cantab), FAAP; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

HIV screening recommendations include the following:

  • The US Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen for HIV in all adolescents and adults at increased risk for HIV infection, and all pregnant women [1]

  • The Centers for Disease Control and Prevention (CDC) recommends opt-out HIV screening for patients in all health-care settings; persons at high risk for HIV infection should be screened at least annually [2]

  • The American College of Physicians (ACP) recommends that clinicians adopt routine screening for HIV and encourage all patients to be tested [3]

  • A high-sensitivity enzyme-linked immunoabsorbent assay (ELISA) should be used for screening; a positive result should be followed with confirmatory testing (eg, Western blot assays or similar specific assay); HIV-2 should be tested for in patients from an HIV-2 endemic area or those with indeterminate results on HIV-1 Western blot testing; early detection using combination screens may be more effective than simply using serology


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