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HIV Testing in Medical Settings Presentation to the IOM Committee on HIV Screening and Access to Care. Carlos del Rio, MD Rollins School of Public Health of Emory University Emory Center for AIDS Research. 1993 and 2001 CDC Guidelines for HIV testing.
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Carlos del Rio, MD
Rollins School of Public Health of Emory University
Emory Center for AIDS Research
Never really implemented….
MMWR Rec Reports 2006 Sep 22; 55(RR-14): 1-17.
CDC MMWR Weekly December 1, 2006 55(47): 1269.
Jain et al. Knowledge of the Centers for Disease Control and Prevention's 2006 routine HIV testing recommendations among New York City internal medicine residents. AIDS Patient Care STDS. 2009 Mar;23(3):167-76.
Goetz et al. Evaluation of the sustainability of an intervention to increase HIV testing. J Gen Intern Med. 2009 Dec;24(12):1275-80.
Mimiaga et al. Health system and personal barriers resulting in decreased utilization of HIV and STD testing services among at-risk black men who have sex with men in Massachusetts. AIDS Patient Care STDS. 2009 Oct;23(10):825-35.
Pinkerton et al. Cost of OraQuick oral fluid rapid HIV testing at 35 community clinics and community-based organizations in the USA. AIDS Care. 2009 Sep;21(9):1157-62.
Mehta et al. Patient risks, outcomes, and costs of voluntary HIV testing at five testing sites within a medical center. Public Health Rep. 2008 Sep-Oct;123(5):608-17.
Cheever LW. Clin Infect Dis 2007; 44: 1500-2
Torian et al. Risk factors for delayed initiation of medical care after diagnosis of human immunodeficiency virus. Arch Intern Med. 2008 Jun 9;168(11):1181-7.
Ulett et al. The therapeutic implications of timely linkage and early retention in HIV care. AIDS Patient Care STDS. 2009 Jan;23(1):41-9.
Gardner et al. Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care. AIDS. 2005 Mar 4;19(4)423-31.
Ehrenkranz et al. Written informed-consent statutes and HIV testing. Am J Prev Med. 2009 Jul;37(1):57-63.
April et al. Oral abstract: 1254 – The Survival Cost of Opt-In Consent for HIV Testing. IDSA Annual Meeting. Oct. 31, 2009.
*WI recently introduced legislation to change its laws
Opt-in: a patient must specifically consent to an HIV-antibody test
Opt-out: patients are notified that an HIV test will be included in a standard battery of tests; they may actively refuse testing
Halpern, JAMA 2005