RECEIPT OF RECOMMENDED MEDICAL-CARE IN HIV-INFECTED AND AT-RISK PERSONS

The authors evaluated receipt of recommended medical care for 133 HIV- infected and 101 at-risk San Francisco public health clinic patients. Fewer than half the patients received syphillis and tuberculosis scree ning, hepatitis B immunity testing or vaccination, and tetanus booster s. The HIV-infected persons were significantly (p less than or equal t o 0.01) more likely than the at-risk persons to receive preventive car e, except for interventions specific to women. More than 80% of the HI V-infected persons received CD4 testing, zidovudine and Pneumocystis c arinii pneumonia prophylaxis, and pneumococcal vaccine. Only 40% of th e at-risk persons reported having HIV-antibody testing recommended. In terventions to increase care delivery to HIV-infected and at-risk pers ons are needed.