Undiagnosed HIV infection in patients with viral hepatitis

doi:10.1136/bmj.39619.626782.3A

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Anna Maria Geretti, consultant in virology,
Sara Madge, associate specialist in HIV medicine,
Marcus Posner, medical student,
Geoff Dusheiko, professor of hepatology,
Michael Jacobs, senior lecturer in infectious diseases

¹Royal Free Hospital and Royal Free and University College Medical School, London NW3 2QG

a.geretti{at}medsch.ucl.ac.uk

A third of HIV infected people in the UK are unaware of their infection.1 Many repeatedly access medical care but are not diagnosed until much later in their disease course.1 2 The chief medical officer recently called on doctors to improve recognition of undiagnosed HIV infection nationwide. One strategy is the adoption of routine opt-out HIV testing in settings where undiagnosed people may present.3 While patients’ acceptance may not be an important barrier,4 uncertainties …