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Testing children of HIV-positive parents: a multidisciplinary approach
  1. Amy Baugh1,
  2. Manjula Pammi1,
  3. Sonia Butler1,
  4. Lucy Cliffe2,
  5. Imytaz Ahmed1,
  6. Alan R Smyth2
  1. 1Department of Genito-urinary Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK
  2. 2Department of Paediatrics, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. Correspondence to Dr Amy Baugh, Department of Genito-urinary Medicine, Nottingham City Hospital, Nottingham University Hospitals NHS Foundation Trust, Hucknall Road, Nottingham NG5 1PB, UK; amy.baugh{at}nuh.nhs.uk

https://doi.org/10.1136/archdischild-2013-305498

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    Introduction

    The document ‘Don't Forget the Children’ (2009) outlined that all adult HIV services should have pathways in place to ensure children of HIV positive parents are tested for HIV.1 Children born outside the UK could miss interventions to prevent mother-to-child transmission of HIV and subsequent testing.2 Previous audits have highlighted reasons parents are reluctant to test their children including the child appearing well, fear of disclosure and stigma.3 ,4

    Our genitourinary medicine (GUM) department audited the number of untested children of HIV-positive parents attending HIV care. A multidisciplinary (MDT) group was formed between GUM and paediatrics to identify HIV-positive patients with untested children.

    Audit and service development

    We collected data prospectively between October 2010 and March 2011 on all children of HIV-positive parents. …

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    Footnotes

    • Collaborators Shirley Southall.

    • Contributors AB designed and conducted initial audit, member of multidisciplinary steering group and drafted the initial and revised versions of the manuscript. MP had the idea for the study and the multidisciplinary steering group, revised initial and final version of manuscript. ARS led the multidisciplinary steering group, provided consultant care for HIV testing in children and follow-up, reviewed and revised the manuscript. LC provided consultant care and member of multidisciplinary steering group, reviewed and revised the manuscript. SB is member of multidisciplinary steering group, liaised with parents to facilitate HIV testing in children, collected data and followed up children and revised the manuscript. IA provided consultant support and revised the manuscript.

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.