title: Low concordance with HIV testing guidelines in a retrospective review of intensive care practice.
abstract: Records were reviewed (n=1052) for patients admitted to a large general intensive care unit (GICU) and examined for HIV testing criteria published in UK national testing guidelines (UKNG). All actual tests sent from GICU were also examined for comparison. Strict application of the UKNG revealed 30% of patients met criteria for HIV testing on admission to GICU. With pragmatic application, 18% of admissions met criteria for testing. Less than 5% of admissions were actually tested when no testing guideline was adopted.
  
  
  CONCLUSIONS
  The UKNG can be adopted in a representative GICU to increase HIV testing rate by 4-6-fold.
authors.affiliation: Critical Care Directorate, Chesterfield Royal Hospital, , Chesterfield, UK.
authors.forename: Mark Christopher
authors.initials: MC
authors.lastname: Dodd
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Collini
authors.forename: David H
authors.initials: DH
authors.lastname: Dockrell
mesh_terms: D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000628:therapy; D006760:Hospitalization / Q000639:trends*; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D006113:United Kingdom
keywords: Immunodeficiency; Opportunist lung infections; Pneumonia; Respiratory Infection