HIV screening of the sexually active adult

What it is

Four institutions are set side by side, and they do not say the same thing.

Centers for Disease Control and Prevention: routine opt-out HIV screening is recommended for all patients aged 13 to 64 in all healthcare settings, and persons at high risk for HIV infection should be screened at least annually.

American College of Physicians: clinicians should adopt routine screening for HIV and encourage patients to be tested, and should determine the need for repeat screening on an individual basis.

American Academy of Pediatrics: routine HIV screening should be offered to all adolescents at least once by 16 to 18 years of age in settings where the prevalence of HIV infection is at least 0.1%; in areas of lower HIV prevalence, routine HIV testing is encouraged for all sexually active adolescents and those with other risk factors for HIV.

American Academy of Family Physicians: clinicians should screen adolescents and adults aged 18-65 years for HIV infection, and younger adolescents and older adults who are at increased risk should also be screened.

The case put beside these lines is the young man they are written for: the brother of a patient, he is 18 and has been sexually active with 3 women, he denies STIs and IVDU, and he asks if he should be tested.