Dr Beckwith and colleagues emphasize through their study that adhering to the Centers for Disease Control and Prevention (CDC) guidelines for routine, voluntary HIV counseling, testing, and referral will help identify patients with undiagnosed HIV infection.1 The current, more common practice of testing those with "traditional" risk factors continues to be problematic because of the difficulties with accurate risk assessment. Furthermore, the worldwide HIV pandemic defies the boundaries of presumed high-risk groups in the United States. Thus, both our data and those of Beckwith et al support the implementation of routine HIV testing in all hospitals with greater than 1% prevalence as recommended by the CDC.
Walensky RP, Losina E, Freedberg KA. Routine HIV Testing Among Inpatients—Reply. Arch Intern Med. 2002;162(19):2252-2253. doi: