HIV - Transmission and testing

Question 1

Who is at highest risk of having undiagnosed HIV?

Answer 1

Non-black African men and women (don’t fit into high risk groups and go undiagnosed as a result)

> 65

Those who have it with heterosexual sex

Question 2

List the 7 high risk groups in the UK

Answer 2

• MSM
• Female partners of MSM
• Black africans
• Prisoners
• PWID (or have done in past)
• Trans women
• Partners of people with HIV

Also test all of those who have family/sexual contact with those from endemic areas

Question 3

How high is HIV in UK within MSM?

Answer 3

1:17

Question 4

What kind of sex has most risk of transmission. Why?

Answer 4

Anoreceptive sex - most trauma and high amounts of lymphatic tissue

Question 5

What are the endemic areas identified?

Answer 5

Thailand
Sub-Saharan Africa
Caribbean

Question 6

In what situations should HIV be tested for without an opt out system?

Can this be done without a patient’s consent?

Answer 6

When HIV falls into ur DD for things like AIDS related opportunistic infections and unknown cause of EB virus like infection

If the patient is incapacitated and it’s in their best interest

Question 7

What markers do we test for in a HIV test?

List in order of what marker becomes detectable first.

How long will it take for a HIV case to show as positive on a test?

Answer 7

p24 antigen
HIV antibody

45 days