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6.1

Routine ascertainment of HIV infection status for children and adults

Clinical HIV Guidelines, 5th Edition, 2022. Chapter 6, Diagnosing HIV infection and exposure.

Clinical description

and adults

  • Ask every client at every visit about the most recent HIV test and review their health passport for

previous HIV test results.

  • Offer HIV testing to all patients attending health facilities for any reason, if:

o never tested o tested negative before (follow risk assessment in HSVH testing guidelines)

o claims to have been tested any time in the past, but without documentation (being on ART at a named facility counts as documented evidence)

o there is clinical concern for HIV infection

  • Do not test patients who are currently on ART as results may be false negative.
  • Routinely document HIV test results on page 6 of the patient’s health passport unless the patient

declines. For in-patients, also document test result in in-patient notes.

Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.

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