ῌ,**/ The Japanese Society for AIDS Research

The Journal of AIDS Research

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S Yajima et al : Hospital Procedures for Anti-HIV-antibody Positive Cases Detected by a Screening Test

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The Journal of AIDS Research Vol. 1

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S Yajima et al : Hospital Procedures for Anti-HIV-antibody Positive Cases Detected by a Screening Test

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The Journal of AIDS Research Vol. 1    

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 2/ FS Yajima et al : Hospital Procedures for Anti-HIV-antibody Positive Cases Detected by a Screening Test

Hospital Procedures for Anti-HIV-antibody Positive Cases
Detected by a Screening TestSatoko YAJIMA, Takuma MIURA, Shunji KASAI, Junko KOIKE,Yuko IINUMA and Masato SEKIZAWA
HIV Infection Control Committee, Haga Red Cross HospitalObjective : Our hospital has carried out a screening test for HIV infection in preoperative
patients and pregnant women since +33.. In +333, when the ﬁrst HIV-positive case wasfound, no manual was available to guide administrative management of such cases ; great
confusion occurred among the hospital sta#. We restored an orderly approach to the problemand prepared a manual. Our measures were very e#ective, so we felt that reporting ourexperience could be helpful.
Materials and Methods : From April +33. to March ,**-, seven putative positive cases
were discovered. We examined problems in assessment of results, reporting of results tophysicians and nurses and notiﬁcation of a#ected patients.
Results : Screening was done in +0,1-3 patients, of whom 1 (*.*.ῌ) were positive by
enzyme immunoassay ; EIA. On deﬁnitive testing, , EIA-positive results were found to befalse, leaving / conﬁrming positive cases(*.*-ῌ). After analysis of the problems, procedures
were formulated and implemented. When a HIV-positive case is conﬁrmed, the result isreported directly to the physician in charge of HIV infection management, who contacts thepatient’s physician and the nurses in charge of HIV infection control. These sta# members
notify and advise the patient together. Since the manual has been distributed, major
confusion never has occurred.
Conclusion : Implementing procedures speciﬁed in our manual was very helpful in managing positive cases. A special problem at our institution is large numbers of foreign patients,
so e#ective use of social resources and interdisciplinary coordination are very important for
reliable follow-up in the outpatient clinic.
Key words : HIV, screening test, false positive, manual+.0 ῌ 20 ῍