HIV Indicator Conditions course for GPs
This session describes indicator conditions for advanced immunosuppression, and emphasises how these conditions may alert the GP to undiagnosed HIV infection.
This session was reviewed by Khyati Bakhai and last updated in May 2020.
Learning Objectives
By the end of this session you will be able to:
- List the main indicator conditions for HIV infection
- Describe how these conditions may present
- Respond appropriately by using further investigation or referral as appropriate
- Recognise which conditions may require urgent referral or admission
- Outline a clinical strategy for collecting evidence of immunosuppression in an individual patient
The previous session emphasised the importance of diagnosing HIV as early as possible in order to protect life and health. It also made clear that much HIV infection in the UK is diagnosed late.
Before commencing this session you should:
- Complete sessions:
- Sexual Health: Indicators of Risk (400-0143)
- The Sexual History - Taking in the General Practice Context (400-0144)
- The Sexual History - The Partner History (400-0145)
- The Sexual History - Assessing Condom Use, Pregnancy Risk and Symptoms (400-0145)
- HIV and Why Early Diagnosis Matters (400-0162)
- Be working or training in the general practice context
Dr Philippa Matthews (MBBS, FRCGP) is currently Primary Care Development Lead at the Africa Centre in KwaZulu Natal, South Africa, working with a population with the highest prevalence of HIV in the world. Prior to this she was a GP in Kings Cross, London, and Sexual Health Clinical Lead for Islington.
She has developed and delivered sexual health training and written extensively about sexual health services in primary care, most recently authoring MEDFASH’s new HIV Testing in Practice (HIV TIPs) webtool to support GPs and practice nurses to increase HIV testing in this area.
Judith is project manager of the Sexual Health in Practice (SHIP) scheme in Birmingham and associate lecturer at Warwick Medical School, undertaking module leadership on the Post Graduate Award - Delivery of Sexual Health Care.
For many years Judith practiced as a nurse and health visitor in a variety of settings – hospitals, schools and primary care. After graduating from Birmingham University in 1988 and completing a masters degree in health promotion and education in 1994, Judith developed extensive experience in education, as an FE college lecturer and Open University Tutor. For the last 17 years she has worked as a health promotion specialist delivering and managing a wide range of diverse sexual health promotion initiatives, involving Theatre in Health Education (THE), peer education and NHS workforce development, across the Birmingham area.
Ruth is Chief Executive of the Medical Foundation for AIDS & Sexual Health (MedFASH). She is also a member of both the Independent Advisory Group on Sexual Health and HIV, and the UK Chief Medical Officers’ Expert Advisory Group on AIDS.
Ruth started her career in a reproductive health charity, gaining experience of direct service provision. She then worked at the Health Education Authority, moving up over time to become Manager of its Sexual Health and HIV Programme which provided national public education campaigns, information and support for local health promotion, public health research and policy development. In the last ten years, under her leadership, MedFASH has managed a series of major national projects including a review of the National Strategy for Sexual Health and HIV (2008), the development of Standards for the management of sexually transmitted infections (2010) and the production of educational materials on HIV testing. She was on the writing group for the UK guidelines for HIV testing 2008 and is a long-term member of the RCGP Sex, Drugs and HIV Group.
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