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Int J STD AIDS. 2017 Feb;28(2):192-195. doi: 10.1177/0956462416676623. Epub 2016 Oct 27.

'Don't forget the children' - test before it is too late.

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1 Department of Sexual Health, Royal Bournemouth Hospital, Bournemouth, UK.
2 Department of Genitourinary Medicine, Royal South Hants Hospital, Southampton, UK.


In 2009, 'Don't forget the children' guideline recommended that all new HIV-positive patients attending adult HIV services should have any existing children identified and tested for HIV alongside a coherent documentation process. A retrospective case note review was performed on 173 HIV-positive women registered at the Royal South Hants adult HIV service until 31 January 2014. Data were assessed as a whole (n = 173) and, in addition, two comparator groups were formulated: (a) pre-guidelines (n = 108) and (b) post-guidelines (n = 65). Out of 80 children eligible for HIV testing, only 43 (54%) had clear documentation of a test result, and in the remaining 37 (46%), it was either not considered or not followed through. Documentation of need for testing increased significantly from 67% in pre-guideline group to 100% in the post-guideline group (p < 0.001). The median time from recognition of need to test to actual testing remained 24 months in both groups. Although this audit demonstrated improvement in identification of at-risk children and their testing, there is still need for improvement.


AIDS; HIV testing; children; guideline; mother-to-child transmission; mothers; screening

[Indexed for MEDLINE]

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