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Rapid HIV Testing In Labor and Delivery Unit. Presented by Danielle Joseph-White Public Health Investigator Specialist Houston Department of Health and Human Services (HDHHS) Bureau of HIV/STD and Viral Hepatitis Prevention http://www.houstonhealth.org. Testing in Labor and Delivery.

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rapid hiv testing in labor and delivery unit

Rapid HIV Testing InLabor and Delivery Unit

Presented by

Danielle Joseph-White

Public Health Investigator Specialist

Houston Department of Health and Human Services (HDHHS)

Bureau of HIV/STD and Viral Hepatitis Prevention

http://www.houstonhealth.org

testing in labor and delivery
Testing in Labor and Delivery
  • Texas Rapid testing Implementation at Delivery (T.R.I.A.D.) project is being conducted by the Harris County Hospital District’s Thomas Street Clinic in collaboration with the HDHHS.
  • The project’s leads are Dr. Judy Levinson, principle investigator and Anna Moore, RN serves as program coordinator.
who should be offered a rapid hiv test
Who should be offered a rapid HIV test?
  • Pregnant women who present for delivery with an unknown HIV status.
  • Pregnant women who present for delivery without documented proof of HIV screening during the third trimester.
consent for testing
Consent for Testing
  • HIV screening should not be performed on patients that declines (opt-out screening).
  • General consent forms should be inclusive of HIV testing.
rapid hiv testing
Rapid HIV Testing
  • The rapid HIV test can provide patients with their status within 1 to 2 hours.
  • Testing kits specimen types vary from oral, whole blood, serum, plasma.
  • Tests can be conducted through laboratory services or point-of-care. HDHHS recommends rapid test to be facilitated through laboratory services.
  • Currently there are six (6) FDA approved rapid HIV antibody test. (Refer to CDC’s for test kits names and manufactures).
more about the rapid hiv test
More About the Rapid HIV Test
  • As with any diagnostic tests there may be errors; however, a confirmatory test will be performed on all preliminary positives to ensure test results are accurate.
  • All preliminary HIV+ patients should be urged not to breastfeed until the confirmatory test results are received.
treatment options
Treatment Options
  • Patient with a preliminary positive results, should be offered antiretroviral (ATR) medicines to reduce the risk of mother-to-child transmission of HIV.
  • After birth, the baby should be administered AZT in syrup form.
  • Studies have determined that maternal treatment with HIV medication will reduce perinatal transmissions to <2%.
contact information
Contact Information

For the T.R.I.A.D. Project please contact:

Anna Moore, RN

Nurse Coordinator

Texas Rapid-testing Implementation At Delivery

2015 Thomas Street

Houston, Texas 77009

anna_moore@hchd.tmc.edu

contact information1
Contact Information

Danielle Joseph-White

Public Health Investigator Specialist

8000 N. Stadium Dr., 5th Floor

Houston, Texas 77054

(713) 794-2904

danielle.joseph-white@cityofhouston.net

contact information2
Contact Information

For additional HIV/STD

information and resources please contact:

HDHHS

Bureau of HIV/STD and Viral Hepatitis Prevention

8000 N. Stadium Drive, 5th Floor

Houston, Texas 77054

(713) 794-9020