Anonymous Human Immunodeficiency Virus Surveillance and Clinically Directed Testing in a Newark, NJ, Hospital
Lombardo, Joseph M.
Kloser, Patricia C.
Pawel, Bruce R.
Trost, Ronald C.
St Louis, Michael E.
Archives of Internal Medicine. 1991 May; 151(5): 965-968.
From September 1988 to August 1989,...3529...patients with admitting conditions presumably not associated with human immunodeficiency virus (HIV) infection...were tested anonymously for the presence of type 1 HIV (HIV-1) antibody....7.6% were confirmed HIV-1 seropositive. Overall, 10.3% of male patients and 4.8% of female patients were seropositive. Persons 25 to 44 years old had the highest HIV-1 seroprevalence -- 20.9% for male and 7.5% for female patients. Based on this anonymous testing, the number of HIV-infected hospitalized patients discharged in 1988 was estimated. Data on hospital-confirmed HIV-infected patients tested on the basis of clinical suspicion suggest that only 40% of HIV-infected patients were actually tested for HIV-1 infection...in this hospital. These data demonstrate a high prevalence of HIV infection in this patient population and suggest that hospitals serving populations with a high HIV seroprevalence offer routine screening for HIV infection as part of good medical care.
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Guidelines for National Human Immunodeficiency Virus Case Surveillance, Including Monitoring for Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome Fleming, Patricia L.; Ward, John W.; Janssen, Robert S.; De Cock, Kevin M.; Valdiserri, Ronald O.; Gayle, Helene D.; Jones, Jeffrey L.; Lehman, J. Stan; Lindegren, Mary Lou; Nakashima, Allyn K.; Posid, Joseph M.; Sullivan, Patrick S.; Sweeney, Patricia A.; Wortley, Pascale M.; Seiler, Eva M.; Jaffe, Harold W. (Centers for Disease Control and Prevention, 1999-12-10)