Recommended HIV Testing Definitions and Examples HIV Testing - cdph ca 2025

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CDC recommends all patients between the ages of 13 and 64 get tested for HIV at least once as part of routine health care. Screen patients who may have ongoing risk factors for HIV at least annually. Use opt-out approach to remove stigma associated with HIV testing and foster earlier diagnosis and treatment.
KEY POINTS. The 5 Cs are essential for all HTS: consent, confidentiality, counselling, correct test results and connection to HIV prevention, treatment and care (see section 1.7).
The recommended algorithm is a sequence of tests used in combination to improve the accuracy of the laboratory diagnosis of HIV based on testing of serum or plasma specimens. In brief, testing begins with a combination immunoassay that detects HIV-1 and HIV-2 antibodies and HIV-1 p24 antigen.
Consent: Testing must be informed and voluntary. Confidentiality: Protect individuals privacy and data. Counselling: Provide support before and after the test. Correct Results: Ensure accuracy through quality control.
All HIV testing services should continue to be provided in line with WHOs essential 5 Cs: Consent, Confidentiality, Counselling, Correct test results, and Connection/linkage to prevention, care and treatment.
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The Four Cs of HIV Prevention with African Americans: Crisis, s, Culture, and Community. This journal article discusses how to design successful interventions to prevent HIV using socio-cultural factors which address institutional and social barriers impacting risk reduction in African American communities.
The core principles of effective HTS: Consent, Confidentiality, Counselling, Correct results, Connection and creating an enabling environment best known as the 6 Cs of HTS are emphasized throughout the guidelines.
A rapid antigen/antibody test done with blood from a finger stick can usually detect HIV 18 to 90 days after exposure. An antigen/antibody lab test using blood from a vein can usually detect HIV 18 to 45 days after exposure. A NAT can usually detect HIV 10 to 33 days after exposure.

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