Despite the significant steps made in the diagnosis and treatment of HIV, there is still a notable amount of people living with HIV without being diagnosed, with a fair portion of these infections occurring in adolescents and young adults. For some individuals, by the time they are diagnosed they are living with advanced-staged disease, missing the opportunity for receiving antiretroviral treatment that would have markedly reduced their morbidity, mortality, and risk of transmission to others. Opt-out testing, or notifying the patient the test will be performed unless explicitly declined or deferred, increases the rates of testing while reducing the stigma of the disease. It is a universal recommendation for those between ages 13 and 55 years to have an HIV screening test. It should be standard of care for HIV tests in the adolescent population to be structured as an opt-out screening in both the ambulatory and acute care settings. [Pediatr Ann. 2024;53(4):e111-e113.].

中文翻译：

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青少年艾滋病毒筛查和选择退出检测作为护理标准。


尽管在艾滋病毒的诊断和治疗方面取得了重大进展，但仍有大量艾滋病毒感染者未经诊断，其中相当一部分感染发生在青少年和年轻人中。对于一些人来说，当他们被诊断出时，他们已经患有晚期疾病，错过了接受抗逆转录病毒治疗的机会，而抗逆转录病毒治疗本可以显着降低他们的发病率、死亡率和传播给他人的风险。选择退出检测，或通知患者除非明确拒绝或推迟，否则将进行检测，可以提高检测率，同时减少疾病的耻辱感。普遍建议 13 至 55 岁之间的人群进行 HIV 筛查测试。在门诊和急症护理机构中，青少年人群艾滋病毒检测的护理标准应该是选择退出筛查。 [儿科安。 2024；53(4)：e111-e113。]。