| Literature DB >> 28986656 |
Lynn M Yee1,2, Emily S Miller3,4,5, Anne Statton4, Laurie D Ayala5, Sarah Deardorff Carter5, Ann Borders6,7, Amy E Wong8, Yolanda Olszewski9, Mardge H Cohen10, Patricia M Garcia3,4,5.
Abstract
The objective was to assess sustainability of a statewide program of HIV rapid testing (RT) for pregnant women presenting for delivery with unknown HIV status. This is a population-based retrospective cohort study of women delivered in Illinois hospitals (2012-15). Deidentified data on RT metrics from state-mandated surveillance reports were compared using descriptive statistics and non-parametric tests of trend. Over 95% of the 608,408 women delivered had documented HIV status at presentation. The rate of undocumented HIV status rose from 4.19 to 4.75% (p < 0.001). However, overall 99.60% of women with undocumented status appropriately received RT and the proportion who did not receive RT declined (p = 0.003). The number of neonates discharged with unknown HIV status declined (p = 0.011). RT identified 23 new HIV diagnoses, representing 4.62% of maternal HIV diagnoses. In conclusion, statewide perinatal HIV RT resulted in nearly 100% of Illinois mother-infant dyads with known HIV status. Sustained RT completion represents an important prevention safety net.Entities:
Keywords: HIV testing; Human immunodeficiency virus; Mother-to-child transmission; Perinatal transmission; Public health policy; Rapid testing
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Year: 2018 PMID： 28986656 PMCID： PMC6003703 DOI： 10.1007/s10461-017-1920-5
Source DB: PubMed Journal: AIDS Behav ISSN： 1090-7165