title: Perinatal HIV testing and diagnosis in Illinois after implementation of the Perinatal Rapid Testing Initiative.
abstract: OBJECTIVE
  The objective of the study was to assess whether implementation of a statewide initiative was associated with changes in perinatal human immunodeficiency virus (HIV) testing practices.
  
  
  METHODS
  This was an observational cohort study of all 1,141,799 women who delivered in Illinois birthing hospitals over a 7 year period after the introduction of the Perinatal Rapid Testing Implementation in Illinois (PRTII) initiative. Changes in the frequencies of HIV status documentation, rapid test utilization, and newborns discharged with unknown HIV status were assessed.
  
  
  RESULTS
  The comparison of annual data from 2005 to 2011 demonstrated a 63% decrease in women with undocumented HIV status (11.7% vs 4.3%, P < .001), a 98% decrease in women with unknown status who did not receive rapid testing (29.6% vs 0.5%, P < .001), and a greater than 99% decrease in newborns with undocumented status at discharge (2.74% vs 0.01%, P < .001).
  
  
  CONCLUSIONS
  This statewide initiative resulted in a significant and sustained increase in the frequency of maternal-baby pairs who were discharged from the hospital with documented HIV status.
authors.affiliation: Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. amy.wong@gmail.com
authors.forename: Amy E
authors.initials: AE
authors.lastname: Wong
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Garcia
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Olszewski
authors.forename: Anne
authors.initials: A
authors.lastname: Statton
authors.forename: Ann
authors.initials: A
authors.lastname: Bryant Borders
authors.forename: William A
authors.initials: WA
authors.lastname: Grobman
authors.forename: Mardge H
authors.initials: MH
authors.lastname: Cohen
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods*; D000328:Adult; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D007087:Illinois; D007231:Infant, Newborn; D008403:Mass Screening / Q000331:legislation & jurisprudence / Q000379:methods; D018743:Perinatal Care / Q000331:legislation & jurisprudence / Q000379:methods*; D011247:Pregnancy; D055815:Young Adult