• 作者：Marí ; a José ; Busto^a ; ^b ; ^{mariajose.busto@uem.es} ; Lucí ; a Garcí ; a San Miguel^b ; Marí ; a Elena Castelao^a ; ^c ; Elena Bermú ; dez^d
• 关键词：Retraso diagnó ; stico ; Serolog&iacute ; a virus de la inmunodeficiencia humana ; Opt-out prueba rutinaria ; Cribado virus de la inmunodeficiencia humana ; Atenció ; n primaria
• 刊名：Enfermedades Infecciosas y Microbiolog铆a Cl铆nica
• 出版年：2011
• 期刊代码：pca153_0213005X
• 类别：med
• 出版时间：August-September 2011
• 卷：29
• 期：7
• 页码：490-496
• 文件大小：207 K

Objective

To explore the attitudes and practices of Primary Health Care professionals in the diagnosis of HIV infection according to current protocols and the degree of acceptance of simplified HIV testing (without a separate written consent and without asking about risk practices).

Material and methods

An observational cross-sectional descriptive study conducted in Primary Care Centres of the Madrid Public Health Service. Data were collected by telephone surveys during 2009.

Results

A total of 210 doctors were interviewed. Twenty one percent were already performing simplified HIV testing (and 28.6%expressed a favourable attitude towards the new recommendations). The majority (71.4%did not use a separate written consent for HIV testing, and 42%did not report any communication difficulties. Most of them considered that comparing HIV with other similar ways of transmission infections, making HIV testing exceptual may lead to stigma. Lack of time was not a problem for 75.2%, and 97.1%considered they had an essential role in controlling the HIV epidemic.

Conclusions

The acceptance of simplified HIV testing is high and is already being performed by 1 out of 5 Primary Care Doctors in the Madrid Public Health Service.