HIV Tests Recommended for All Sexually Active Adolescents

Doctors who treat children are being urged to test all sexually active adolescents for HIV, the virus that causes AIDS.

That recommendation comes in a new policy statement by the influential medical group the American Academy of Pediatrics. The statement, published in the journal Pediatrics, also recommends that, in areas where the risk of infection is relatively high, all teens ages 16 to 18 be tested for the virus.

As Reuters reports, the advice stems from concerns that nearly half of adolescents with HIV don’t know they are infected, and they often unknowingly contribute to the epidemic by passing the virus on to their sexual partners. Untreated, HIV usually progresses into AIDS. Of the estimated 1.1 million Americans infected with HIV, 55,000 of them are ages 13 to 24.

The academy’s new stance actually is narrower than the position of the Centers for Disease Control and Prevention, which in 2006 recommended that everybody older than 13 get tested for the virus. But the academy was responding to the failure of doctors to go ahead with the tests.

“Physicians in general are afraid of the issue of HIV,” Dr. Jaime Martinez, a co-author of the policy statement, told CNN. “Many pediatricians have a skewed view of their patients. They also feel they don’t have time to test.”

The Academy’s paper reminds pediatricians that they play “a key role in preventing and identifying human immunodeficiency virus (HIV) infection by promoting risk-reduction counseling and offering routine testing to adolescent and young adult patients.”

The group also is advocating that the routine screening for HIV be done using a rapid response test that gives a diagnosis within about 20 minutes. In addition, the academy recommends that adolescents tested for other sexually transmitted infections be tested for HIV at the same visit.

The HIV test costs only $14, and produces false positives less than 1 percent of the time. Still, some critics say wide-scale testing doesn’t make economic sense. A recent study of French hospitals found that 1,000 patients would need to be tested to find a single new infection.

Separately, the academy issued a policy statement urging doctors to ask adolescents about their drug, alcohol and tobacco use at every visit and to screen for any signs of dependence or addiction.

ROBERT T. NELSON

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