What should the patient be told about the preliminary positive result?

Patients should be counseled that positive test results are only preliminary and that additional testing is necessary to confirm the diagnosis. If she is at risk for delivery she should be informed that the second test will likely not be back prior to delivery of her baby. She should be counseled that antiretroviral medication is recommended to reduce the risk of transmission of the virus to her baby. Additionally, she should be counseled to avoid breastfeeding until confirmatory test results are available.