Screening and Diagnosis

Screening and Diagnosis Overview3rd Edition

Module Core Competency

Apply Evidence-Based Recommendations to Provide HIV Screening, Diagnosis, and Linkage to Care

Target Audience

This module is for any health care provider who would like to establish core competence in testing for HIV, recognizing acute HIV infection, and linking persons diagnosed with HIV to medical care.

Editor

David H. Spach, MD

David H. Spach, MD
Professor of Medicine
Division of Allergy & Infectious Diseases
University of Washington

Disclosures: None

Free CNE/CME

Available in the

Screening and Diagnosis Self-Study Module

Module Lessons

1Lesson 1 Epidemiology of HIV

Learning Objectives
- Explain the difference between HIV prevalence and incidence
- Describe the contemporary epidemiology of HIV-1 in the United States
- Discuss the impact of racial/ethnic disparities and social determinants on HIV epidemiology
- Summarize the global HIV epidemiology
- Identify populations in the United States at risk for HIV-2
Quick ReferenceEpidemiology of HIV Core Concepts

2Lesson 2 HIV Screening Recommendations

Learning Objectives
- Discuss the history of HIV testing in the United States
- Explain the rationale for routine HIV screening and identify strategies to overcome potential barriers to routine screening
- State Centers for Disease Control and Prevention (CDC) HIV screening recommendations
- List indications for repeat HIV testing
- Summarize recommendations for providing HIV test results
Quick ReferenceHIV Screening Recommendations Core Concepts

3Lesson 3 HIV Diagnostic Testing

Learning Objectives
- Compare different types of HIV diagnostic tests and when to use these tests
- Describe the timing of when HIV diagnostic tests become positive after HIV infection
- Explain updated recommended nomenclature for HIV diagnostic tests
- Summarize the CDC/APHL recommended HIV testing algorithm
- Discuss interpretation of HIV diagnostic tests and delivery of test results to clients
Quick ReferenceHIV Diagnostic Testing Core Concepts

4Lesson 4 Acute and Recent HIV Infection

Learning Objectives
- State the definition of acute and recent HIV
- Describe the immunopathogenesis and clinical manifestations of acute HIV
- Discuss the laboratory diagnosis of acute HIV infection
- List the potential public health benefits of diagnosing and promptly treating a person with acute or recent HIV infection
- Summarize the recommended antiretroviral treatment regimens for persons with acute or recent HIV infection
Quick ReferenceAcute and Recent HIV Infection Core Concepts

5Lesson 5 Linkage to HIV Care

Learning Objectives
- State the United States Federal benchmarks and goals for successful linkage to care after HIV diagnosis
- List the metrics used to estimate and monitor linkages to care
- Summarize current estimated HIV linkage to care data in the United States
- Describe strategies for optimizing linkage to care for persons newly diagnosed with HIV in the United States
- Identify barriers that impede successful linkage to care after HIV diagnosis
Quick ReferenceLinkage to HIV Care Core Concepts

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