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Acute human immunodeficiency virus type 1 infection. Multiple barriers to HIV testing have been identified, including language barriers; late entry into prenatal care; health-care providers' perceptions that their patients are at low risk for HIV; lack of time for counseling and testing, particularly for rapid testing during labor and delivery; and state regulations requiring counseling and separate informed consent These recommendations for human immunodeficiency virus HIV testing are intended for all health-care providers in the public and private sectors, including those working in hospital emergency departments, urgent care clinics, inpatient services, substance abuse treatment clinics, public health clinics, community clinics, correctional health-care facilities, and primary care settings. Assessment of emergency department healthcare professionals' behaviors regarding HIV testing and referral for patients with STDs. Timely access to diagnostic HIV test results also improves health outcomes. Bayer R, Fairchild AL. The competence of interpreters and bilingual staff to provide language assistance to patients with limited English proficiency must be ensured.
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Description: However, assessment of risk for infection with HIV and other STDs and provision of prevention information should be incorporated into routine primary care of all sexually active persons when doing so does not pose a barrier to HIV testing. Persons likely to be at high risk include injection-drug users and their sex partners, persons who exchange sex for money or drugs, sex partners of HIV-infected persons, and MSM or heterosexual persons who themselves or whose sex partners have had more than one sex partner since their most recent HIV test. These guidelines proved difficult to implement because 1 the cost of HIV screening often is not reimbursed, 2 providers in busy health-care settings often lack the time necessary to conduct risk assessments and might perceive counseling requirements as a barrier to testing, and 3 explicit information regarding HIV prevalence typically is not available to guide selection of specific settings for screening Emergency department--based HIV screening and counseling:
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