HIV pre-test discussion

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7050.130 (Published 20 July 1996) Cite this as: BMJ 1996;313:130
  1. Riva Miller,
  2. Marc Lipman
  1. AIDS counselling co-ordinator Royal Free Hospital and School of Medicine, London NW3 2QG
  2. Senior registrar Royal Brompton Hospital, London SW3 6NP

    Not just for specialists

    Britain's Department of Health has recently introduced revised guidelines for pre-test discussion on HIV antibody testing.1 These have been circulated to all doctors, district general managers and chief executives of NHS trusts. The guidelines update the first booklet (1985),2 which led to most HIV tests being offered at genitourinary medicine clinics and few being done in general medical care.3

    The new guidelines confirm that named testing for HIV infection should only be undertaken with informed consent, and that individuals should have information about HIV transmission, the significance of a positive and negative result, and be able to discuss their particular needs and concerns. They also advise that discussion and testing should now be part of …

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