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A survey of sexually transmitted diseases/HIV coinfection testing
and reporting practices among health care providers in New Jersey.
Sexually Transmitted Diseases 2005;32(7):406-12.
Seña AC, Mertz KJ, Thomas D, Wells D, Costa S, Levine WC.
Abstract
OBJECTIVES: A survey was conducted to ascertain the adherence of health care
providers (HCPs) to national guidelines recommending human immunodeficiency
virus (HIV) testing among persons with sexually transmitted diseases (STDs)
and STD testing among HIV-infected persons. STUDY: A random sample of HCPs
reporting STD and HIV cases in New Jersey were surveyed regarding their STD/HIV
testing and reporting practices. RESULTS: Questionnaires were returned by
90 of 162 (55.5%) STD and 73 of 135 (54.1%) HIV HCPs. Sixty-six percent of
STD HCPs reported offering HIV testing to persons with gonorrhea, chlamydia,
or syphilis. However, up to 42.1% of HIV HCPs who managed HIV-positive patients
never or almost never performed initial STD screening in these patients.
Among HIV-infected patients, 36.4% of HIV HCPs reported that they never or
almost never conducted annual gonorrhea or chlamydia screening in women;
48.6% never conducted screening in men. CONCLUSIONS: Further efforts are
needed to optimize the implementation of national guidelines for STD/HIV
coinfection testing.