Impact of Expanded HIV Screening

  1. David Lander, MD
  1. From the Virginia College of Osteopathic Medicine, Blacksburg, VA 24060.

    TO THE EDITOR:

    Paltiel and colleagues (1) made another useful contribution to the debate of HIV screening. I find it hard to imagine that we will not expand the scope of HIV testing in the future, in a variety of settings, and I support the general concept.

    The advantages of rapid tests (“higher levels of test acceptance, follow-up, and linkage to care”) seem appealing, but the authors caution that “rapid testing may exacerbate the distress associated with false-positive results.” How often would false-positive results occur?

    Using the high end of 1% HIV prevalence used in their analysis (“that reflects …

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    1. Ann Intern Med July 17, 2007 vol. 147 no. 2 145-146
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