Analysis of the use of HIV antibody testing in a Minnesota hospital.
Analysis of the use of HIV antibody testing in a Minnesota hospital.
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明尼苏达州一家医院艾滋病毒抗体检测的使用分析。
DOI：
10.1001/jama.259.2.229
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
K. Crossley
中科院分区：
文献类型：
--
作者：
K. Henry;M. Maki;K. Crossley
我们回顾性研究了1985年4月至1986年8月在一个450张床位的医疗中心和附属诊所人类免疫缺陷病毒（HIV）抗体血清学的临床应用。在此期间，对HIV抗体血清学的使用没有限制，尽管建议获得同意并提供降低风险的信息。对275名患者进行了检测;其中25名（9%）的结果为阳性。近一半（44%）的患者在他们的图表中没有记录艾滋病毒感染的公认风险因素。对于另外44%的患者，该测试是医学上指示的，但没有记录同意和咨询。只有10%的艾滋病毒抗体检测得到了同意，并提供了降低风险的信息。这些结果表明，艾滋病毒抗体检测往往是在未经同意的情况下进行的，提供降低风险咨询的机会正在被错过。
We retrospectively studied the clinical use of human immunodeficiency virus (HIV) antibody serology at one 450-bed medical center and affiliated clinics from April 1985 through August 1986. No restrictions were placed on the use of HIV antibody serology during that time, although it was recommended that consent be obtained and risk-reduction information be provided. Testing was performed for 275 patients; results for 25 (9%) of these were positive. Nearly half (44%) of the patients had no recognized risk factor for HIV infection recorded in their charts. For an additional 44% of the patients, the test was medically indicated but consent and counseling were not documented. For only 10% of HIV antibody tests was there notation that consent was obtained and that risk-reduction information was provided. These results indicate that HIV antibody testing is often done without consent and that opportunities to provide risk-reduction counseling are being missed.