Table of Contents
Journal of Sexually Transmitted Diseases
Volume 2013, Article ID 828024, 6 pages
http://dx.doi.org/10.1155/2013/828024
Research Article

Remembering the Children: Implementation and Success of a Robust Method for Identifying and Testing Children of HIV Patients

1York Teaching Hospital NHS Trust, Mongate Health Center, 31 Monkgate, York YO31 7WA, UK
2Centre for Immunology and Infection, Department of Biology, HYMS, University of York, Heslington, York YO10 5DD, UK

Received 3 July 2013; Accepted 23 September 2013

Academic Editor: Consuelo Beck-Sagué

Copyright © 2013 Christopher Darlow et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Children of HIV patients are a historically neglected demographic by HIV services. It has been recommended by CHIVA that HIV services have a robust method of detecting and testing untested children. We note that no such method is either in widespread use or in the literature. Method. In December 2011, a one-page proforma to identify HIV untested children and a clear multidisciplinary pathway to test them were implemented. Twelve months later the uptake of the proforma and pathway, the numbers of patients and children identified for testing, and their outcomes were audited. Results. The proforma was completed in 192/203 (94.6%) eligible patients. Twenty-five (21.5%) of 118 identified offspring had not been tested. Ten (8.5%) of these were <18 years old. All were reported to be clinically well. Ten children were referred for testing, seven were tested immediately, and three were tested within 18 months of identification. All children were tested HIV negative. Discussion. We have identified a method of identification that is easy and robust and provides a user-friendly safety net to empower healthcare providers to identify and test children at risk. We recommend the implementation of such strategies nationwide to prevent death due to undiagnosed HIV in children.