Screening and Testing

Whom To Test

1. Patients wanting to be tested.
2. Patients having one or more of the following risk factors:
• Vietnam-era Veteran
• Transfusions before 1992
• Intravenous drug use
• Exposure of skin to blood
• Multiple sex partners
• Hemodialysis
• Tattoos/Piercings
• Nasal cocaine use
• Unexplained liver disease
• Unexplained abnormal ALT
• Heavy alcohol use

Initial Testing

1. Anti-HCV by ELISA
2. AST/ALT (if not done previously)

Pretest Counseling

1. For risk behaviors
2. Limitations of ELISA test
3. Schedule test and follow-up visit

Next: Posttest Strategy