Gennotte AF, Semaille P, Ellis C, Necsoi C, Abdulatif M, Chellum N, Evaldre C, Laporte F, Mernier M, Ounchif K, Gidiuta D, Schellens MJ, Clumeck N. Feasibility and acceptability of HIV screening through the use of rapid tests by general practitioners in a Brussels area with a substantial
African community.
HIV Med 2014;
14 Suppl 3:57-60. [PMID:
24033907 DOI:
10.1111/hiv.12061]
[Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVES
To assess:1) if HIV screening with rapid tests in neighbourhoods with a substantial African community is feasible and acceptable among GPs and patients; 2) HIV seroprevalence.
METHODS
Multicenter prospective study with 10 trained physicians. Use of HIV standard test and INSTI Ultrarapid test.
INCLUSION CRITERIA
MSM, sex worker, multiple sexual partners, having returned or coming from a country with high HIV prevalence, IVDU, Indicator conditions as defined by HIV Indicator Diseases across Europe Study, having an AIDS-defining illness, having had a recent pregnancy or abortion; or presenting other risks.
RESULTS
From August 2010 to August 2011, 10 trained GPs offered an HIV test to 224 patients: 51% ♀, 48% ♂, 43% Caucasians, 45% Africans.
INCLUSION CRITERIA
32% "high risk group", 9% returning from an endemic country, 29% with an indicator condition; 12 patients (6%) refused the standard test. The INSTI was offered to 217(97%), 197 performed with 2 reactive rapid tests confirmed. The seroprevalence according to ethnic origin was 0% among Caucasians and 2.2% among Africans and was 1.5% among patients with an indicator condition. 1087 consecutive consultations of the same GPs were recorded: 42% patients had ≥ 1 inclusion criteria among which 41% of offered tests, that is to say 59% of "missed opportunities". The reasons for not offering the test as recorded for 55% of patients:"not indicated" 44.5%, "no time" 33%, "impossible to propose" 15%, test completed previously 11%, known HIV-positive 4%.
CONCLUSIONS
Standard and rapid tests are well received by patients but were usually not offered by doctors who have been trained.
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