Letters Missed opportunities

Undiagnosed HIV infection in patients with viral hepatitis

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39619.626782.3A (Published 26 June 2008) Cite this as: BMJ 2008;336:1451
  1. Anna Maria Geretti, consultant in virology,
  2. Sara Madge, associate specialist in HIV medicine,
  3. Marcus Posner, medical student,
  4. Geoff Dusheiko, professor of hepatology,
  5. Michael Jacobs, senior lecturer in infectious diseases
  1. 1Royal Free Hospital and Royal Free and University College Medical School, London NW3 2QG
  1. 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 …

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