Missed opportunities to offer HIV tests to high-risk groups during general practitioners' STI-related consultations: an observational study

BMJ Open
Ivo K JooreIngrid van den Broek

Abstract

Prior research has shown that Dutch general practitioners (GPs) do not always offer HIV testing and the number of undiagnosed HIV patients remains high. We aimed to further investigate the frequency and reasons for (not) testing for HIV and the contribution of GPs to the diagnosis of HIV infections in the Netherlands. Observational study. (1) Dutch primary care network of 42-45 sentinel practices where report forms during sexually transmitted infection (STI)-related consultations were routinely collected, 2008-2013. (2) Dutch observational cohort with medical data of HIV-positive patients in HIV care, 2008-2013. The proportion of STI-related consultations in patients from high-risk groups tested for HIV, with additional information requested from GPs on HIV testing preconsultation or postconsultation for whom HIV testing was indicated, but not performed. Next, information was collected on the profile of HIV-positive patients entering specialised HIV care following diagnosis by GPs. Initially, an HIV test was reported (360/907) in 40% of STI-related consultations in high-risk groups. Additionally, in 26% of consultations an HIV test had been performed in previous or follow-up consultations or at different STI-care facilities. Th...Continue Reading

References

Jan 1, 1987·International Ophthalmology Clinics·D Lamberts
Feb 4, 2010·European Journal of Public Health·Jessika DeblondeMarleen Temmerman
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Mar 5, 2013·International Journal of Medical Informatics·Jip de JongMargreet Wieringa-de Waard
May 4, 2013·BMC Infectious Diseases·Karen ChampenoisYazdan Yazdanpanah
May 15, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Julia Kang Cornett, Thomas J Kirn
Aug 22, 2014·International Journal of STD & AIDS·Fleur van AarUNKNOWN Partner Notification Group

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Citations

May 10, 2016·AIDS Patient Care and STDs·David A KatzMatthew R Golden
Jun 11, 2016·AIDS Patient Care and STDs·Jason ZuckerShobha Swaminathan
May 6, 2019·Health Promotion International·Hanne ApersUNKNOWN HERMETIC Study Group
Oct 8, 2019·Current Opinion in HIV and AIDS·Godelieve J de BreeUNKNOWN HIV Transmission Elimination AMsterdam (H-TEAM) Initiative
Oct 17, 2019·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Raquel Martin-IguacelLine Dahlerup Rasmussen
Aug 3, 2017·BMC Infectious Diseases·M BartelsmanUNKNOWN HIV Transmission Elimination AMsterdam (H-TEAM) initiative
Mar 8, 2017·BMC Infectious Diseases·Titia HeijmanUdi Davidovich
Oct 24, 2018·BMC Public Health·Jessika DeblondeUNKNOWN HERMETIC Study Group

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