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Implementing routine HIV screening in an urban adolescent population at a general pediatric clinic

Journal of Adolescent Health Nov 01, 2020

Smith J, Broker P, Chakrabarty M, et al. - Researchers conducted the study for increasing the rate of routine HIV screening during preventative visits for adolescent patients aged 15 to 21 in a pediatric and adolescent clinic in compliance with national recommendations, which are poorly implemented nationwide. It was a quality improvement initiative. From May 2016 to February 2020, four plan-do-study-act (PDSA) cycles were performed. Routine HIV screening rates at preventative visits for youth aged 15 to 21 increased from the pre-intervention rate of 5.16% to a final rate of 41.5% over four PDSA cycles. Routine HIV screening rates have been effectively increased during preventive visits for adolescents at an urban pediatric and adolescent clinic. This was primarily attributed to testing with a rapid HIV point-of-care HIV antibody test and a clinical procedure enabling, as part of the intake process, medical assistants and nurses to order the test in the name of a doctor. For other clinics, ours could be a model.

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