title: HIV testing in Lanarkshire.
abstract: BACKGROUND
  The 2008 UK National Guidelines for HIV testing were designed in order to decrease the proportion of people living with undiagnosed HIV infection.
  
  
  OBJECTIVE
  Two audits were conducted. The aim of Audit 1 was to determine the proportion of current medical inpatients with an indicator condition that had been tested for HIV. Audit 2 aimed to identify missed opportunities for testing prior to diagnosis among newly diagnosed individuals with HIV.
  
  
  METHODS
  Audit 1 involved a case note review looking for indicator conditions and HIV testing of all inpatients. Audit 2 analysed the hospital case notes of all new Lanarkshire HIV patients in 2010 for previous missed diagnostic opportunities.
  
  
  RESULTS
  In Audit 1, 36% (63/174) of medical inpatients had a current indicator condition. Of the total population, 1.7% (3/174) had what would be an AIDS-defining condition if they had a positive HIV test. However, only 11% (7/63) of individuals were appropriately HIV tested. For Audit 2, 64% (9/14) of newly diagnosed individuals had previous missed opportunities for diagnosis.
  
  
  CONCLUSIONS
  Increased education of clinical staff around testing guidelines is needed, as we have demonstrated that the 2008 guidelines are not being adhered to.
authors.affiliation: RR Acquah, Brownlee Centre, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G14 0YN, UK. Email r.acquah@nhs.net.
authors.forename: R R
authors.initials: RR
authors.lastname: Acquah
authors.forename: A
authors.initials: A
authors.lastname: Baggott
authors.forename: C
authors.initials: C
authors.lastname: McGoldrick
authors.forename: N
authors.initials: N
authors.lastname: Kennedy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015658:HIV Infections / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D012698:Serologic Tests / Q000706:statistics & numerical data; D006113:United Kingdom
keywords: AIDS; HIV guidelines; HIV testing; clinical indicator diseases; missed opportunities