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Box 2.1. Choice of the test - synoptic table

  Chlamydia/ Gonorrhoea Syphilis HIV Hepatitis A Hepatitis B Hepatitis C
Samples Vagina/urine and/or throat and/or anus Blood and/or ulcer Blood Blood Blood Blood
Adolescents Test to be performed in all risk situations Test to be added when specific risk factors Test to be added when specific risk factors   Test to be performed when the patient is not immunised Test to be added when specific risk factors
Heterosexuals/WSW Test to be performed in all risk situations Test to be added when specific risk factors Test to be added when specific risk factors   Test to be performed when the patient is not immunised  
Pregnant women Test to be added when specific risk factors Test to be performed in all risk situations Test to be performed in all risk situations   Test to be performed when the patient is not immunised  
Migrants, mobile population or travellers Test to be performed in all risk situations Test to be performed in all risk situations Test to be added when specific risk factors   Test to be performed when the patient is not immunised Test to be added when specific risk factors
MSM Test to be performed in all risk situations Test to be performed in all risk situations Test to be performed in all risk situations Test to be performed when the patient is not immunised Test to be performed when the patient is not immunised Test to be added when specific risk factors
Sex for money Test to be performed in all risk situations Test to be performed in all risk situations Test to be performed in all risk situations   Test to be performed when the patient is not immunised Test to be added when specific risk factors
Drug users Test to be performed in all risk situations Test to be performed in all risk situations Test to be performed in all risk situations   Test to be performed when the patient is not immunised Test to be performed in all risk situations
Colour Legend
Test to be performed in all risk situations Test to be performed in all risk situations.
Test to be performed when the patient is not immunised Test to be performed if the patient is not immunised.
Test to be added when specific risk factors Test to be added if there are specific risk factors (high risk partners, Subsaharian or endemic region of origin, PrEP or HIV+, traumatic sex).

! If positive test (HIV, Hepatitis A, B or C), whoever the patient is, refer to secondary care for treatment and follow-up.

!! All cases of syphilis in a pregnant woman should be referred to secondary care for treatment and follow-up