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本帖最后由 kj2012 于 2012-4-17 15:13 编辑
Possible need for re-testing.
Ask participants why re-testing is necessary. Listen and confirm responses.
Reveal slide 12, and remind participants of the previous section in this module with its
emphasis on antibody development. Make the connection between antibody
development and the length of time it will take to get an accurate HIV test result.
Suggest that this time gap is often referred to as the window period after infection.
State that – at a minimum – providers should briefly explain that the accuracy of the
current test will depend on avoiding recent risk behaviour. The most succinct way to
teach about this is to emphasize the need for six weeks without possible exposure to be
certain of the test results. Note that about 90% of patients would be expected to
develop antibodies within the first six weeks after exposure, and almost all adults who
have been exposed will develop antibodies within three months.
• Information about availability of treatment and care services if positive.
Reveal Slide 13, and note that the rationale for scaling up HIV testing is linked with the
scale up of HIV treatment. Ask participants to describe enhancements to the delivery of
care and treatment in the last three years. Confirm all responses.
Advise participants that assuring clients of the availability of medical as well as social
support services for people with HIV must be done during the pre-test information
session. Stress that this implies providers will have up-to-date information about where
services are available, and they are committed to remaining knowledgeable as services
are added or changed in their communities.
Summarize that there are many types of treatment, including combination antiretroviral
therapy, that are extremely effective at maintaining health. Yet all providers must be
aware that HIV medications must be taken exactly as prescribed. It must be noted
there are sometimes adverse effects associated with HIV medications, and adherence to
regimes may pose challenges for some patients. Finally, offer the caution that the most
effective course of treatment begins with early intervention.
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