Low concordance with HIV testing guidelines in a retrospective review of intensive care practice.

UNLABELLED Records were reviewed (n=1052) for patients admitted to a large general intensive care unit (GICU) and examined for HIV testing criteria published in UK national testing guidelines (UKNG). All actual tests sent from GICU were also examined for comparison. Strict application of the UKNG revealed 30% of patients met criteria for HIV testing on admission to GICU. With pragmatic application, 18% of admissions met criteria for testing. Less than 5% of admissions were actually tested when no testing guideline was adopted. DISCUSSION The UKNG can be adopted in a representative GICU to increase HIV testing rate by 4-6-fold.