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Human Immunodeficiency Virus (HIV)

Clinical Pathways promote evidence-based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject-matter experts, informed by methodical review of available evidence and consensus among committee members. 

Clinical Pathways:

Additional tools associated with this Clinical Pathway:

Inclusion and exclusion criteria for HIV Testing Clinical Pathway*:

  • Inclusion:
    • History of unprotected sexual activity
    • Other concurrent sexually transmitted infection(s)
    • IV drug use
    • Concern for pregnancy with concurrent testing
    • No previous HIV screening and demonstrates high-risk behavior:
      • Drug and alcohol use
      • Multiple partners
      • Males who have sex with males
    • Patient/parent request
    • Sexual assault
    • Tuberculosis disease
    • History of sexual activity with current illness symptoms of:
      • Malaise
      • Fever
      • Sore Throat
      • Lymphadenopathy
  • Exclusion:
    • Concern for perinatal transmission
    • Recent antiretroviral medications
    • Known HIV infection

*Refer to algorithms for inclusion and exclusion criteria for nPEP and PrEP

Committee members involved in the development:

  • Diane Petrie, FNP-BC, AAHIVS, CPN | Infectious Diseases | Committee Chair  
  •  Alaina Burns, PharmD, BCPPS | Infectious Diseases, Pharmacy | Committee Member
  • Rachel Whifield, MSN, APRN, FNP-C | Adolescent and Young Adult Medicine Clinic | Committee Member
  • Andrea Nos, MD, MHPE | Adolescent and Young Adult Medicine Clinic | Committee Member
  • Gladesia Tolbert, DNP, CPNP, PMHS | General Academic Pediatrics | Committee Member
  • Anik Patel, MD, FAAP | Pediatric Emergency Medicine | Committee Member
  • Jami Cronin, PNP-BC, MBA, RN, CCRC, CPN | Pediatric Emergency Medicine | Committee Member

EBP Committee members:

  • Kathleen Berg, MD, FAAP | Evidence Based Practice
  • Jarrod Dusin, PhD, RD, CPHQ| Evidence Based Practice
  • Andrea Melanson, OTD, OTR/L | Evidence Based Practice

Publication dates:

  • Finalized date: September 2026
  • Next expected revision date: 2030

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu. 

 

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.