Get Hiv-1 Resistance Tropism Test Request Form - Pathlabs Rlbuht Nhs

Filling out the HIV-1 Resistance Tropism Test Request Form - Pathlabs Rlbuht Nhs online is a straightforward process that ensures the accurate collection of necessary patient data for testing. This guide provides step-by-step instructions to help you complete the form effectively and efficiently.

Follow the steps to accurately complete the request form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the optimal volume of EDTA blood required, which is typically 5-10 ml, or 10 ml for the tropism test if the viral load is less than 1000 copies/ml.
3. Provide patient details. If available, use a label for this information. Enter the hospital number, patient name, and date of birth in the specified fields.
4. Indicate the type of sample you are submitting by selecting the appropriate box for blood or CSF (cerebrospinal fluid).
5. Complete the dates for both the request and the sample collection. Ensure these are clearly marked in the designated sections.
6. Record the most recent plasma viral load in copies/ml along with the corresponding date to ensure accurate test interpretation.
7. Input the nadir CD4 count, including the numeric value and percentage, which is essential for interpreting the tropism test.
8. Select the tests required by checking the appropriate boxes for resistance tests (RT/Protease, Integrase, gp41) and tropism testing.
9. Provide the reason for the requested test by selecting one of the provided options and specify if 'Other' is chosen.
10. Indicate whether the patient has ever been on ART (antiretroviral therapy) and if the sample was taken while on ART by selecting 'Yes' or 'No'.
11. List the antiretrovirals taken at the time the sample was collected, ensuring to mark the relevant medications accurately.
12. Lastly, include the antiretrovirals ever taken by the patient, ensuring to mark all relevant medications.
13. After completing the form, review all entries for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your HIV-1 Resistance Tropism Test Request Form online today for accurate and efficient testing.