HIV Types and subtypes HIV 1: predominant strain • A: Europe, Mideast • B: North America, Latin America, Asia & Europe HIV2 HIV testing can now screen for both types
HIV ELISAIf positive: confirm If negative: No with Western Blot further testing
At Risk Populations Patients who are sexually active Homosexual and/or bisexual Pregnancy Commercial sex workers Newly diagnosed with tuberculosis Intravenous drug users Healthcare workers with exposure
CDC Recommendations Clinicians should add screening for HIV transmission risk behaviors and STI’s as a part of routine medical care for ages >13-65 • Prevention counseling not required • Patient can opt-out
HIV Testing All pregnancies in the first & last trimester Once in a patient’s lifetime Repeat all high risk patients with exposure with initial negative tests within 3 months then at 6 months. Persistent high risk behavior
Counseling & testing Mandatory informed consent (Florida Section 381.004) • Positive results reports to health department Name is reports but anonymous testing is available Super confidentiality • Patients can receive results over phone as well as in return office visit.