Beyond the end exceptionlism: Integrating HIV testing into routine medical care and HIV prevention

Rachel Smith, Nicola M. Zetola, Jeffrey D. Klausner

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

In September 2006, the US CDC issued new guidelines for HIV testing. These guidelines were designed not only to simplify and expand HIV testing but also to integrate testing into routine medical care in the USA. The nationwide implementation of these guidelines is currently facing several political and legal barriers. In this article, we examine the origins of current patient-driven and risk-based HIV testing in the USA and highlight shortcomings of this strategy. We then demonstrate how the changing HIV epidemic in the USA requires routine HIV screening at all points of contact in the medical system in order to control the HIV epidemic and how novel testing strategies could increase the yield of testing in these settings.

Original languageEnglish (US)
Pages (from-to)581-589
Number of pages9
JournalExpert Review of Anti-Infective Therapy
Volume5
Issue number4
DOIs
StatePublished - Aug 2007
Externally publishedYes

Keywords

  • Acute HIV infection
  • HIV exceptionalism
  • HIV testing
  • Routine HIV screening

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Virology
  • Microbiology

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