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Hiv aids part 2[3]
1. HIV/AIDS
Elaine Kauschinger
PhD, MS, ARNP, FNP-BC
Assistant Professor of Clinical
Lead Faculty, Family Nurse Practitioner Program
University of Miami
School of Nursing & Health Studies
3. 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
4. HIV
ELISA
If positive: confirm If negative: No
with Western Blot further testing
5. 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
6. 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
7. 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
8. 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.