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The CDC recently published revised recommendations urging routine HIV screening in healthcare settings for individuals age 13 to 64, unless they opt out. This is not the first time that the CDC has made such a proposal. In 1992 and 2001, similar recommendations were made (e.g., see N Engl J Med 1992; 327:445) but unfortunately never implemented. Furthermore, the most recent U.S. Preventive Services Task Force (USPSTF) guidelines have endorsed previous CDC recommendations for screening only in areas where HIV prevalence is 1% or higher (ACC Jul 13 2005), a local statistic with which many physicians might not be familiar.
The major revisions to the previously published guidelines include:
Routine screening is recommended for everyone age 13 to …