[Screening for notification of seropositivity: ethical and psychological aspects].
HIV testing can be generated either by the physician or by the patient. In all cases it should be integrated in a comprehensive approach of the patient and his history. This consultation will allow to give preventive recommendations--if the test is negative--and will help patient management-if the test is positive--in the setting of a good relationship aiming to offer the best medical, psychological and social follow-up to the patient. In this context it appears that pre-counselling should be systematically provided. The reasons for asking the test should be carefully analyzed. The pre and post-counselling should be used to try to improve preventive measures. On the other hand these first consultations should allow to detect and manage the psychological impact in case of seropositivity.
De Wit
S
S
Centre de Référence SIDA - ULB, Service des Maladies Infectieuses, C.H.U. Saint-Pierre, Bruxelles.
Flausch
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A
D015492:AIDS Serodiagnosis / Q000523:psychology*; D003376:Counseling; D004992:Ethics, Medical; D006679:HIV Seropositivity / Q000523:psychology; D006801:Humans; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D012944:Social Support