Routine Opt-Out HIV Screening

Routine opt-out rapid HIV screening and detection of HIV infection in emergency department patients.

CONTEXT The Centers for Disease Control and Prevention (CDC) recommends routine (nontargeted) opt-out HIV screening in health care settings, including emergency departments (EDs), where the prevalence of undiagnosed infection is 0.1% or greater. The utility of this approach in EDs remains unknown. OBJECTIVE To determine whether nontargeted opt-out rapid HIV screening in the ED was associated ...

A Comparison of Patient Satisfaction with Emergency Department Opt-In and Opt-Out Rapid HIV Screening

Study objective. To compare patient satisfaction with emergency department (ED) opt-in and opt-out HIV screening. Methods. We conducted a survey in an urban ED that provided rapid HIV screening using opt-in (February 1, 2007-July 31, 2007) and opt-out (August 1, 2007-January 31, 2008) approaches. We surveyed a convenience sample of patients that completed screening in each phase. The primary ou...

Patient choice in opt-in, active choice, and opt-out HIV screening: randomized clinical trial

STUDY QUESTION What is the effect of default test offers--opt-in, opt-out, and active choice--on the likelihood of acceptance of an HIV test among patients receiving care in an emergency department? METHODS This was a randomized clinical trial conducted in the emergency department of an urban teaching hospital and regional trauma center. Patients aged 13-64 years were randomized to opt-in, op...

Opt in or opt out: what is optimal for prenatal screening for HIV infection?

Should Australia consider opt-out HIV testing?

In 2012 and 2013, Australia had the highest incidence of HIV diagnoses in 20 years. 1 While there is no imminent threat of a generalised epidemic in Australia, the recent increase in HIV diagnoses reflects changing infection patterns that warrant an exploration of current testing practices. Opt-out HIV testing could decrease the number of undiagnosed infections and provide for timely connection...