Ashby J, Braithewaite B, Walsh J, Gnani S, Fidler S, Cooke G
St Mary's Hospital, Imperial College NHS Healthcare Trust, London, UK.
AIDS Care. 2012;24(7):905-9. doi: 10.1080/09540121.2011.647675. Epub 2012 Jan 24.
Up to 33% of HIV-infected adults in the UK remain undiagnosed and efforts to increase HIV testing are underway. HIV testing was conducted amongst individuals presenting to a polyclinic at a central London hospital using a point of care test. Demographic and HIV risk data was collected along with a patient feedback questionnaire exploring acceptability of the HIV testing experience. Seventy-one out of 93 (76%) individuals accepted HIV testing. Of those accepting HIV testing, 53/71 (75%) had never previously tested for HIV despite, 45/53 (85%) of these being registered with a GP. Twenty-seven out of 71 (38%) of individuals testing had at least one risk factor associated with HIV acquisition, and of these 17/27 (63%) had never previously tested for HIV infection. There were no new HIV positive diagnoses during the period of testing. Respondents indicated a high level of satisfaction with the service and more than 85% found the service to be helpful, educational and convenient. This small proof of concept pilot showed uptake of HIV testing in this setting to be high and acceptable to patients.
在英国,高达33%的感染艾滋病毒的成年人仍未被诊断出来,目前正在努力增加艾滋病毒检测。在伦敦市中心一家医院的综合诊所,对前来就诊的个人使用即时检验法进行艾滋病毒检测。收集了人口统计学和艾滋病毒风险数据,以及一份探索艾滋病毒检测体验可接受性的患者反馈问卷。93名个人中有71名(76%)接受了艾滋病毒检测。在接受艾滋病毒检测的人中,53/71(75%)此前从未接受过艾滋病毒检测,尽管其中45/53(85%)已在全科医生处登记。检测的71名个人中有27名(38%)至少有一项与感染艾滋病毒相关的风险因素,其中17/27(63%)此前从未接受过艾滋病毒感染检测。在检测期间没有新的艾滋病毒阳性诊断。受访者表示对该服务高度满意,超过85%的人认为该服务有帮助、有教育意义且方便。这个小型概念验证试点表明,在这种情况下艾滋病毒检测的接受度很高,患者也能接受。