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J Family Reprod Health. 2017 Mar;11(1):50-55.

To Tell, or Not to Tell; Confidentiality in an Iranian HIV Positive Patient: A Viewpoint.

Journal of family & reproductive health

Mahshad Noroozi, Maliheh Kadivar, Mansure Madani, Pooneh Salari

Affiliations

  1. Medical Ethics and History of Medicine Research Center , Tehran University of Medical Sciences, Tehran, Iran; Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
  2. Division of Neonatology, Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
  3. Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 29114269 PMCID: PMC5664990

Abstract

Confidentiality is a basic concept in medical ethics and protecting confidentiality is considered as physicians' duty. In some occasions, this protection is in conflict with the right of the patient's sexual partner, who should be informed about the possibility of being infected. The sexual partner being pregnant, the situation is going to be more complicated. In this paper, we present a case discussion with special ethical, legal, social, cultural, and religious aspects. According to this informing sexual partner with the patient's assent, opt-out Human immunodeficiency virus (HIV) screening in pregnant women and enhancing psychosocial and family support are highly recommended. Strategic changes in health system policies and regulations seem to be necessary as well.

Keywords: Confidentiality; Ethics; HIV; Sexual Partner

References

  1. J Med Ethics Hist Med. 2009 Jan 13;2:1 - PubMed
  2. Clin Perinatol. 2010 Dec;37(4):699-719, vii - PubMed
  3. Am J Public Health. 2007 Jul;97(7):1179-83 - PubMed
  4. Clin Perinatol. 2010 Dec;37(4):751-63, viii - PubMed
  5. Sociol Health Illn. 2009 Apr;31(3):441-55 - PubMed
  6. J Am Acad Psychiatry Law. 2014;42(4):469-77 - PubMed
  7. MMWR Recomm Rep. 2006 Sep 22;55(RR-14):1-17; quiz CE1-4 - PubMed

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