HIV Screening & Testing
HIV screening and testing guidance continues to evolve with changes in testing technology and methods to reach persons who can benefit from these services. The listed documents provide the most updated federal guidance on HIV screening and testing for individuals who offer or conduct HIV testing, including physicians, nurses, administrators, clinical coordinators, program managers; and laboratory personnel responsible for testing specimens.
HIV Testing in Clinical and Nonclinical Settings
- Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women In Health-Care Settings, MMWR 2006
- HIV Testing Implementation Guidance for Correctional Settings, 2009
- Revised Guidelines for HIV Counseling, Testing, and Referral, MMWR 2001
- Sexually Transmitted Diseases Treatment Guidelines, MMWR 2010
HIV Testing in the Laboratory and Reporting of Laboratory Test Results
- NEW! Laboratory Testing for the Diagnosis of HIV Infection: Updated Recommendations, CDC 2014 This updates recommendations for HIV testing by laboratories in the United States and describes approaches for reporting test results to persons ordering HIV tests and to public health authorities. In brief, testing begins with a combination immunoassay that detects HIV-1 and HIV-2 antibodies and HIV-1 p24 antigen. All specimens reactive on this initial assay undergo supplemental testing with an immunoassay that differentiates HIV-1 from HIV-2 antibodies. Specimens that are reactive on the initial immunoassay and nonreactive or indeterminate on the antibody differentiation assay would then be tested with HIV-1 nucleic acid testing to determine the presence of HIV infection.
- NEW! Quick Reference Guide—Laboratory Testing for the Diagnosis of HIV Infection: Updated Recommendations, CDC 2014. A two-page summary of the recommended testing algorithm and suggested language to report test results to public health authorities and persons ordering HIV tests.
- Suggested Reporting Language for the HIV Laboratory Diagnostic Testing Algorithm, Association of Public Health Laboratories (APHL) 2013
- NEW! Centers for Disease Control. Dear Colleague letter to public and private laboratories (about the 2014 Laboratory Testing for the Diagnosis of HIV Infection: Updated Recommendations and recommendations about using Logical Observation Identifiers Names and Codes (LOINC) for reporting HIV test results to health departments), CDC 2014