Print this page    •   Back to Web version of article

Medical News
Boston University: Missed Opportunities for Addressing HIV Testing Remain Unacceptably High

May 18, 2004

Missed opportunities for detecting HIV remain unacceptably high when undiagnosed patients seek care, according to a recent study from Boston University School of Medicine (BUSM). Dr. Jeffrey Samet, professor of medicine at BUSM and chief of general internal medicine at Boston Medical Center, and colleagues conducted a 10-year retrospective chart review of patients seen at an HIV intake clinic from January 1994 to June 2001. The subjects had tested positive for HIV during the 12 months before presenting at the intake clinic and had at least one encounter documented in the medical record prior to being diagnosed as HIV-positive.

Of the 221 patients meeting study eligibility requirements, all had at least one trigger indicating an increased risk for HIV in a prior encounter note. Of the 3,424 encounters reviewed, triggers were found in 50 percent of medical visits -- yet HIV testing was addressed in only 27 percent of those visits.

Missed opportunities for addressing these triggers remain high despite improvements in HIV testing in recent years, the authors noted, and variation by care site remained key. "In particular, the emergency department merits consideration for increased resource commitment to facilitate HIV testing," said Samet. In order to detect HIV infection prior to advancement to AIDS, clinicians must become more alert to clinical triggers that suggest increased risk for HIV, and lower the threshold at which HIV testing is recommended, the researchers concluded.

The study, "Assessing Missed Opportunities for HIV Testing in Medical Settings," was published in the Journal of General Internal Medicine (2004;19(4):349-356).

Back to other news for May 18, 2004

Excerpted from:
AIDS Weekly & Law
04.29.04




This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update. You can find this article online by typing this address into your Web browser:
http://www.thebody.com/content/art26331.html

General Disclaimer: TheBody.com is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through TheBody.com should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.