Suboptimal HIV Testing Among Patients Admitted With Pneumonia: A Missed Opportunity.

Journal Article (Journal Article)

Patients admitted with pneumonia are at higher risk for HIV and should be routinely screened. We examined a retrospective cohort of patients admitted to Duke University Health System with a primary diagnosis of pneumonia. During the study period, 6,951 persons were admitted with pneumonia. Of 6,646 patients without a known prior diagnosis of HIV, 1,010 (15%) had HIV testing during admission and 1,516 (23%) had a previously documented HIV test result. Forty-one (0.6%) patients had a positive HIV test during admission and 27 (0.4%) patients were diagnosed with HIV a median of 498 (IQR 112-982) days later, with median CD4 count of 64 (IQR 16-281) cells/mm3. HIV testing rates remain low in a population at high risk for HIV. At a minimum, we should be adhering to universal HIV screening recommendations, and certainly we should be screening those at higher risk. Opt-out HIV testing of pneumonia inpatients should be implemented.

Full Text

Duke Authors

Cited Authors

  • Clifton, DC; Clement, ME; Holland, TL; Cox, GM; Dicks, KV; Stout, JE

Published Date

  • August 2017

Published In

Volume / Issue

  • 29 / 4

Start / End Page

  • 377 - 388

PubMed ID

  • 28825862

Pubmed Central ID

  • PMC6500385

Electronic International Standard Serial Number (EISSN)

  • 1943-2755

Digital Object Identifier (DOI)

  • 10.1521/aeap.2017.29.4.377


  • eng

Conference Location

  • United States