Document Detail


HIV screening practices in U.S. hospitals, 2009-2010.
MedLine Citation:
PMID:  22942470     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A 2004 national survey of hospitals showed that 23.4% of hospitals screened for HIV in at least one department, most frequently in labor and delivery departments. However, less than 2% of these hospitals screened patients in inpatient units, urgent care clinics, or emergency departments. In 2006, the Centers for Disease Control and Prevention (CDC) recommended HIV screening for all individuals 13-64 years of age in health-care settings. We determined the frequency of hospital adoption of these CDC recommendations.
METHODS: We surveyed hospital infection-control personnel at a randomly selected sample of U.S. general medical and surgical hospitals in 2009-2010.
RESULTS: Of the 1,476 hospitals selected for the survey, 754 (51.1%) responded to the survey; of those responding, 703 (93.2%) offered HIV tests for patients at the hospital and 206 (27.3%) screened for HIV in at least one department. Screening was most common in larger hospitals (45.7%), hospitals in large metropolitan areas (50.5%), and teaching hospitals (44.4%); it was least common in public hospitals (19.1%). By department, screening was most common in labor and delivery departments (34.6%) and substance abuse clinics (20.7%); it was least common in emergency departments (11.9%), inpatient units (9.6%), and psychiatry/mental health departments (9.4%). More than half of hospitals were not considering implementing CDC's recommendations within the next 12 months.
CONCLUSIONS: Since 2004, HIV screening in hospitals increased overall and by department. However, the majority of U.S. hospitals have not adopted the CDC recommendations.
Authors:
Andrew C Voetsch; James D Heffelfinger; Juliet Yonek; Pragna Patel; Steven F Ethridge; Gretchen W Torres; Margaret A Lampe; Bernard M Branson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  127     ISSN:  1468-2877     ISO Abbreviation:  Public Health Rep     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-09-03     Completed Date:  2012-11-13     Revised Date:  2013-09-03    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  524-31     Citation Subset:  AIM; IM    
Affiliation:
Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Atlanta, GA 30333, USA. aav6@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
AIDS Serodiagnosis
Centers for Disease Control and Prevention (U.S.) / standards*
Female
Guideline Adherence
HIV*
HIV Infections / diagnosis*
Health Surveys
Hospital Departments
Hospitals / standards*
Humans
Informed Consent
Mass Screening / standards*
Practice Guidelines as Topic
Pregnancy
Questionnaires
United States
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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