People with no apparent risk factors

Clusters of transmission of HIV or hepatitis C through artificial insemination, the blood supply and through minor surgical procedures have occasionally been identified through contact tracing in Australia.

The management of these cases requires:

  1. Exclusion of sexual partners as sources of infection for the index patient
  2. Expert reassessment of the risk history of individuals
  3. Pooling of data on cases
  4. Systematic review of the investigation
  5. Specialised techniques of characterising viral isolates

Given the organisational, medico-legal and social complexity of these investigations, such patients should be referred to specialist services for contact tracing.