Preventing Perinatal HIV Transmission Newsletter: Field Update Banner Logo
February 14, 2008
Preventing Perinatal HIV Transmission Newsletter: Field Update Banner Logo

Preventing Perinatal HIV Transmission Newsletter: Field Update Banner Logo

Overview
Welcome to this issue of Preventing Perinatal HIV Transmission: Field Update. You are receiving this newsletter because you expressed an interest in perinatal HIV prevention in hospitals or have signed up to receive it. This quarterly email newsletter connects its subscribers to news updates, trends, statistics, prevention programs, policy initiatives, tools, and useful practices relating to perinatal HIV prevention in U.S. hospitals. The Health Research and Educational Trust (HRET), with support from the Centers for Disease Control and Prevention (CDC), produces this newsletter as a forum for information dissemination and for communication among and between hospital staff, HIV experts, and researchers.

For more information on HRET’s Perinatal HIV Prevention project, please visit our
Web site.

If you have comments or suggestions for future issues of this newsletter, please contact Jennifer Reiter at jreiter2@aha.org.

HRET Updates Charts Comparing Rapid HIV Antibody Screening Tests
Manufacturers of some of the available rapid HIV antibody screening tests have recently lowered their prices as more hospitals are using them in accordance with the CDC’s guidelines that all pregnant women be tested when presenting to labor and delivery with undocumented HIV status. Inverness Medical Professional Diagnostic has lowered the list prices of Clearview HIV ½ STAT-PAK to $17.50 and Clearview COMPLETE HIV ½ to $18.50.

Additionally, special pricing has been announced for public health programs that are recipients of CDC funds for expanded HIV testing. Uni-gold and STAT-PAK are priced at $8.00 and for COMPLETE the price is $9.00.

By using rapid HIV tests, prophylaxis can be given to both mother and child, thereby reducing to almost zero the rate of perinatal HIV transmission

To view the charts, click here.

State HIV Testing Laws Compendium Revised: February, 2008
This online resource from the National HIV/AIDS Clinicians’ Consultation Center (NCCC) at UCSF/San Francisco General Hospital describes each state’s laws and policies and includes definitions of key HIV testing terms, a Quick Reference Guide, and links to the CDC’s recommendations on HIV testing in clinical settings and other helpful resources. Individual state profiles can be downloaded from an easy-to-use map on the Web site.

Many states have updated their HIV testing laws. Understanding individual state laws can be essential when providing counseling and testing for patients and in implementing routine HIV testing programs. “Most clinicians are aware of the importance of screening for HIV, even among their patients who do not say they have risk factors,” said Ronald Goldschmidt, MD, Director of the NCCC. “Questions still arise, however, about the guidelines, state laws, obtaining consent, ensuring confidentiality, performing and documenting HIV testing, and proper counseling. The Compendium is one way for clinicians to obtain helpful information.”

Clinicians with questions about HIV testing are encouraged to call the National HIV Telephone Consultation Service (Warmline) at 800-933-3413. The Warmline also provides advice on managing HIV, including antiretroviral drug treatment. The NCCC's National Clinicians' Post-Exposure Prophylaxis Hotline (PEPline) at 888-448-4911 provides advice on managing occupational exposures to HIV and hepatitis, and the National Perinatal Consultation and Referral Service (Perinatal Hotline) at 888-448-8765 offers consultation on preventing mother-to-child HIV transmission.

The updated State HIV Testing Laws Compendium is available here.

ACOG Survey Finds OB-GYNS Are Unaware of HIV Testing Laws for Pregnant Women
According to a survey published in the November edition of Obstetrics and Gynecology, most OB-GYNS recommend HIV testing to their pregnant patients, but some are unclear about state requirements for recommending tests.

The survey, conducted by Jay Schulkin and colleagues from the American College of Obstetricians and Gynecologists (ACOG), found that all but 3% of the respondents recommended HIV testing to all of their pregnant patients, even though almost 75% of OB-GYNS considered 5% or fewer of their patients to be at high risk for HIV infection.

Fifty-seven percent reported following their state's mandated HIV testing requirements, while 43% reported using an approach not consistent with their state's laws. Nearly one-third of OB-GYNS stated they did not know if their state required HIV testing during pregnancy.

To read the abstract, click here. To learn more about your state’s HIV testing laws, visit the state HIV laws map provided by the National HIV/AIDS Clinicians’ Consultation Center.

Recommended Resources on Preventing Perinatal HIV Transmission
The national partners of HRET’s cooperative agreement with the CDC always have a number of helpful resources available for health care workers, hospitals, and other health organizations in their work to prevent perinatal HIV transmission. The following is a short list of some of these materials:

From the American College of Obstetricians and Gynecologists:
HIV and Other Important Pregnancy Tests
This is a convenient to use tear-off notepad with a summary of common prenatal blood tests that answers frequently asked questions about HIV. Included is a laminated physician information card with a suggested script to use with the tear pad to notify pregnant women about HIV testing. Tear pads are available in English and Spanish from ACOG’s store. Russian, Chinese and French versions of the tear pad are available by emailing rcarlson@acog.org.
HIV and Pregnancy
This is a patient education pamphlet available in English.
Routine Tests in Pregnancy
This pamphlet is newly available in Spanish.

From the AETC National Resource Center:
HIV/AIDS Clinician Toolkit
This CD-ROM contains 10 key HIV-related U.S. federal treatment and prevention guidelines and recommendations paired with training slide sets, reference materials, and clinician support tools.

From the François-Xavier Bagnoud Center:
Testing and Counseling for Prevention of Mother-to-Child Transmission of HIV (TC for PMTCT) Support Tools
Includes flipcharts, wall charts, client information brochures, and reference guide.

New Jersey Requires Opt-Out HIV Testing Twice During Pregnancy
During the last week of 2007, bill S 2704 was signed into law. It requires that all pregnant women and some infants in New Jersey be tested for HIV unless the woman opts out of the test in writing.

The new law requires pregnant women to be tested for HIV as early as possible in their pregnancy and again during their third trimester as part of routine prenatal care, unless they opt out. In addition, physicians and health care providers would be required to provide pregnant women with information about HIV/AIDS, the benefits of being tested, available medical treatment, and how treatment can reduce the risk of perinatal HIV transmission. The law also requires infants to be tested for HIV if the mother is HIV-positive or if her HIV status is unknown when she goes into labor.

To read bill S 2704, click here.

Registration Open For Women and HIV International Clinical Conference in Dallas, April 27-30, 2008
Co-sponsored by the Texas/Oklahoma AIDS Education & Training Center and amfAR AIDS Research, the Women & HIV International Clinical Conference is being held in Dallas, Texas from April 27-30, 2008. Conference sessions will address biomedical, psychological and social, and policy and advocacy issues.

Attendees should be able to do the following after the conference:
1. Integrate one best practice in current clinical setting to impact outcomes in HIV-infected women, children, and their families.
2. Appraise two identified health disparities amongst women served in current setting.
3. Discuss two empowerment strategies that will implement change to improve care for HIV+ women.

For more information and to register for the conference by March 7, 2008, please visit their newly launched Web site. To book a room at the Magnolia Hotel, call 888-915-1110 and reference the group “WHICC 2008” by April 11, 2008.

HRET - One North Franklin - Chicago, IL 60606 - (312) 422-2600 - (312) 422-4568

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