Pre-Test Councelling

Question 1

Tests available (2)

Answer 1

Ab-+Ve 3mo after exposure

Ag

Question 2

REEBA?

Answer 2

Reason
Ever tested before?
Exposure
Benefits
Basics 
Agreement

Question 3

R

Answer 3

Ask why they requested/reasons for suspicion e.g. PCP

Question 4

Ever tested before?

Answer 4

What was result

Question 5

Exposure? (6)

Answer 5

Sexually active?:

• partners in 3mo
• male/female?
• protection?
• country of origin?
• partners w. HIV?
• surgery/transfusion/IVDU?

Question 6

Benefits (3)

Answer 6

Rx available
Reduces transmission risk
Test is rapid

Question 7

Basics (2)

Answer 7

(What it involves)
Blood test
Finger prick test

Question 8

Agreement (3)

Answer 8

Gain consent
Gauge expectations
Gauge reaction to positive test-“what will it mean for you?/anyone you can talk to?”

Question 9

Features of blood test (4)

Answer 9

Simultaneous for p24(detectable 6d before Ab) and HIV antibody (detectable after 4-6wks)
95% are +Ve at 4-6wks
99%+ve after 3mo => retest at 3mo
(Recommended 1st line)

Question 10

Finger prick test (5)

Answer 10

Finger prick or saliva (only 2mins)
Detect Abs only
Good when already established infection e.g. Pregnant woman about to deliver/needle stick
Only +ve after 3mo/bad at detecting recent infection
+ve result needs confirmation w. Lab assay

Question 11

RNA PCR

Answer 11

Can detect RNA 1wk post infection
But expensive and unreliable
Used on babies born to HIV +ve mothers