introduction to the.... hiv in the uk over a quarter of those infected remain undiagnosed – hpa...
TRANSCRIPT
Introduction to the...
HIV in the UK
• Over a quarter of those infected remain undiagnosed – HPA
• 35% of HIV-related deaths attributable to late diagnosis – BHIVA audit
• Effective treatments greatly reduce morbidity• Improved response if started early• Treatment can also reduce onward transmission
Richmond House79 WhitehallLondonSW1A 2NS
13 September 2007
Dear Colleague
Improving the detection and diagnosis of HIV in non-HIV specialties including primary care
1. We are writing to ask for your help in combatting the continuing threat of HIV infection to the public health. A special effort on your part would do much to improve the situation.
SIR LIAM DONALDSON PROFESSOR CHRISTINE BEASLEY
CHIEF MEDICAL OFFICER CHIEF NURSING OFFICER
Chief Medical Officer letter
Why new guidelines?
Who can test?
• Any healthcare professional
Who to test?
• Universal testing by setting
• By local HIV prevalence
• Patient groups by risk
• Clinical indicator conditions
Who to test?
• Universal testing by setting
Who to test?
• By local prevalence
Full information on HIV prevalence by PCT can be found on the HPA website: http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1201767906579
Who to test?
• Patient groups by risk
Who to test?• Clinical indicator conditions – general medicine
• Clinical indicator conditions – medical specialties
Who to test?
• Clinical indicator conditions – surgical specialties
Who to test?
• Clinical indicator conditions – oncology
Who to test?
• Clinical indicator conditions – other
Who to test?
Which test to use?
What should be a reasonable time to receive a result?
Other areas covered withinthe guidelines
• Pre- and post-test discussion• Confidentiality• Community based testing• Testing children and where consent is lacking• Testing and criminal prosecution• Testing and insurance• Auditable standards
Summary
• Undiagnosed HIV a significant problem– Individual and public health
• Individuals with undiagnosed HIV access healthcare– but the diagnosis is frequently missed
• Increased testing should reduce the problem– Universal by setting– Routine screening in high prevalence areas– Groups at higher risk of infection– Clinical indicator diseases in all areas
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Also contains
UK National Guidelines for HIV Testing 2008
from BASHH/BHIVA/BIS
Available from:
[email protected] or 020 7383 6345