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Rapid HIV Testing In Labor and Delivery Unit

Rapid HIV Testing In Labor and Delivery Unit. Presented by Danielle Joseph-White Public Health Investigator Specialist Houston Department of Health and Human Services (HDHHS) Bureau of HIV/STD and Viral Hepatitis Prevention http://www.houstonhealth.org. Testing in Labor and Delivery.

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Rapid HIV Testing In Labor and Delivery Unit

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  1. Rapid HIV Testing InLabor and Delivery Unit Presented by Danielle Joseph-White Public Health Investigator Specialist Houston Department of Health and Human Services (HDHHS) Bureau of HIV/STD and Viral Hepatitis Prevention http://www.houstonhealth.org

  2. Testing in Labor and Delivery • Texas Rapid testing Implementation at Delivery (T.R.I.A.D.) project is being conducted by the Harris County Hospital District’s Thomas Street Clinic in collaboration with the HDHHS. • The project’s leads are Dr. Judy Levinson, principle investigator and Anna Moore, RN serves as program coordinator.

  3. Who should be offered a rapid HIV test? • Pregnant women who present for delivery with an unknown HIV status. • Pregnant women who present for delivery without documented proof of HIV screening during the third trimester.

  4. Consent for Testing • HIV screening should not be performed on patients that declines (opt-out screening). • General consent forms should be inclusive of HIV testing.

  5. Rapid HIV Testing • The rapid HIV test can provide patients with their status within 1 to 2 hours. • Testing kits specimen types vary from oral, whole blood, serum, plasma. • Tests can be conducted through laboratory services or point-of-care. HDHHS recommends rapid test to be facilitated through laboratory services. • Currently there are six (6) FDA approved rapid HIV antibody test. (Refer to CDC’s for test kits names and manufactures).

  6. More About the Rapid HIV Test • As with any diagnostic tests there may be errors; however, a confirmatory test will be performed on all preliminary positives to ensure test results are accurate. • All preliminary HIV+ patients should be urged not to breastfeed until the confirmatory test results are received.

  7. Treatment Options • Patient with a preliminary positive results, should be offered antiretroviral (ATR) medicines to reduce the risk of mother-to-child transmission of HIV. • After birth, the baby should be administered AZT in syrup form. • Studies have determined that maternal treatment with HIV medication will reduce perinatal transmissions to <2%.

  8. Contact Information For the T.R.I.A.D. Project please contact: Anna Moore, RN Nurse Coordinator Texas Rapid-testing Implementation At Delivery 2015 Thomas Street Houston, Texas 77009 anna_moore@hchd.tmc.edu

  9. Contact Information Danielle Joseph-White Public Health Investigator Specialist 8000 N. Stadium Dr., 5th Floor Houston, Texas 77054 (713) 794-2904 danielle.joseph-white@cityofhouston.net

  10. Contact Information For additional HIV/STD information and resources please contact: HDHHS Bureau of HIV/STD and Viral Hepatitis Prevention 8000 N. Stadium Drive, 5th Floor Houston, Texas 77054 (713) 794-9020

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