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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. 

The Human Immunodeficiency Virus (HIV) Synopsis provides a high-level overview of the care standards employed for this Clinical Pathway.

Algorithms associated with this Clinical Pathway:

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
    • 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  
  • Jennifer Hansen, MD | SCAN Clinic, SANE Program | Committee Member
  • Andrea Nos, MD | Adolescent Speciality | Committee Member
  • Alaina Burns, PharmD, BCPPS | Pharmacy | Committee Member
  • Miriam Crandall, RN, BSN, SANE-P | Emergency Department, SANE Program | Committee Member
  • Kara LaTessa, MSN, RN, SANE-A, SANE-P | SANE Program | Committee Member
  • Rachel Neihart, LCSW, LSCSW | Social Work | Committee Member
  • Lisa Post-Jones, MSN, RN, CPN, SANE-P | SANE Program | Committee Member
  • Rachel Whitfield, APRN, FNP-C | Adolescent Medicine | Committee Member

EBP Committee members:

  •  Kathleen Berg, MD, FAAP | Hospitalist, Evidence Based Practice
  • Andrea Melanson, OTD, OTR/L | Evidence Based Practice

Publication dates:

  • Finalized date for HIV Testing and nPEP: February 2023
  • Finalized date for HIV PrEP: June 2023
  • Next expected revision date for HIV Testing, HIV nPEP, and HIV PrEP: February 2026

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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.