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A designated doctor will need to obtain information from or about the source patient concerning possible indicators of BBV infection, including risk factors and results of previous tests for HIV and Hepatitis.
The source patient should be asked to consent to test for BBV infections including HIV, HBV and HCV. This will entail pre-test discussion and be obtaining fully informed consent. When handled correctly, it is understood that consent for testing is rarely withheld.
Occasionally a situation may arise where it is necessary to balance the health interests of the exposed Health Care Worker or employee and others against those of the source patient in deciding whether or not a blood sample which has already been obtained from the source patient should be tested for evidence of infection.
When applicable, the doctor should have regard to the guidance in serious Communicable Diseases issued by the General Medical Council. The doctor must be able to justify a particular course of action.