Frank J W, Coates R A, Harvey B J, Goel V, Schiralli V
Can Fam Physician. 1987 Oct;33:2229-35.
Following their first article on HIV-antibody tests,(1) the authors, in this second article, on HIV-antibody testing focus on the benefits and risks that may result from use of the tests. The sequelae of testing, especially if the result is positive, often differ widely, depending on the person tested and on those around him/her. Significant social and psychiatric risks may outweigh any medical benefit of testing, especially for certain persons known to be at high risk of HIV infection. Accordingly, a detailed protocol is suggested for managing both patient requests and physician-perceived indications for HIV-antibody testing. The authors outline the preferred approach to obtaining informed consent, a prerequisite, in their opinion, for ordering the tests.
在发表了关于艾滋病毒抗体检测的第一篇文章之后，(1) 作者们在这第二篇关于艾滋病毒抗体检测的文章中，重点关注了使用这些检测可能带来的益处和风险。检测的后果，尤其是如果结果呈阳性，往往因被检测者及其周围的人而异。重大的社会和精神风险可能超过检测的任何医学益处，特别是对于某些已知感染艾滋病毒风险较高的人。因此，建议制定详细的方案来处理患者的检测请求以及医生认为的艾滋病毒抗体检测指征。作者们概述了获得知情同意的首选方法，他们认为这是进行检测的先决条件。
