HIV Screening and Testing: Are We Following Recommendations?

Obstetrician-gynecologists (OB/GYNs) are strategically placed to identify HIV infection in women. The American College of Obstetricians and Gynecologists (ACOG) recommends opt-out testing, in which the patient is tested unless she declines. However, many states require explicit consent. Investigators sought to assess current HIV testing practices of OB/GYNs in both pregnant and nonpregnant women.

Surveys were sent to 1200 ACOG fellows nationwide; the response rate was 41%. Only 22% of respondents reported that they recommended routine HIV screening to all nonpregnant patients. The factor most often cited for not screening was low-risk status (87%). Other obstacles reported were insufficient time, burdensome state guidelines, and reimbursemen…