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AIDS Educ Prev. 2017 Aug;29(4):377-388. doi: 10.1521/aeap.2017.29.4.377.

Suboptimal HIV Testing Among Patients Admitted With Pneumonia: A Missed Opportunity.

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Departments of Medicine and Pediatrics, Division of General Internal Medicine, Section of Hospital Medicine, Duke University School of Medicine, Durham, North Carolina.
Department of Medicine, Division of Infectious Diseases, Duke University School of Medicine.


Patients admitted with pneumonia are at higher risk for HIV and should be routinely screened. We examined a retrospective cohort of patients admitted to Duke University Health System with a primary diagnosis of pneumonia. During the study period, 6,951 persons were admitted with pneumonia. Of 6,646 patients without a known prior diagnosis of HIV, 1,010 (15%) had HIV testing during admission and 1,516 (23%) had a previously documented HIV test result. Forty-one (0.6%) patients had a positive HIV test during admission and 27 (0.4%) patients were diagnosed with HIV a median of 498 (IQR 112-982) days later, with median CD4 count of 64 (IQR 16-281) cells/mm3. HIV testing rates remain low in a population at high risk for HIV. At a minimum, we should be adhering to universal HIV screening recommendations, and certainly we should be screening those at higher risk. Opt-out HIV testing of pneumonia inpatients should be implemented.

[Indexed for MEDLINE]

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