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  • 1. HIV/AIDS Elaine Kauschinger PhD, MS, ARNP, FNP-BC Assistant Professor of ClinicalLead Faculty, Family Nurse Practitioner Program University of Miami School of Nursing & Health Studies
  • 2. Part 2: Counseling & Testing
  • 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 ELISAIf 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.
  • 9. Please continue to part 2