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Why is testing for HIV so different?

An HIV test requires counselling, confidentiality and consent. The patient, the doctor or a third party may initiate it. Assessment of risk behaviours, rather than stereotyping into risk groups, is needed. Patients initiate tests after perceived risk behaviour, and other factors such as guilt or anxiety may prompt testing. Clinical cues such as fevers, weight loss, lymphadenopathy and candidiasis should alert general practitioners to possible HIV infection. General practitioners have a pivotal role in HIV testing and management.