Mohajer Mayar Al, Lyons Michael, King Eileen, Pratt Jesse, Fichtenbaum Carl J
1Department of Internal Medicine, University of Cincinnati Academic Health Center, Cincinnati, OH, USA.
J Int Assoc Physicians AIDS Care (Chic). 2012 Mar-Apr;11(2):101-8. doi: 10.1177/1545109711430165. Epub 2012 Feb 14.
To evaluate the knowledge and attitudes of residents and attendings in emergency medicine (EM) and internal medicine (IM) about HIV.
An electronic anonymous 41-question survey of IM and EM physicians at the University of Cincinnati Academic Health Center.
The survey was completed by 232 physicians (71.6%). EM residents were more likely to routinely offer HIV testing compared to IM residents (60.7% vs. 27.8%, P = 0.0009). Overall, there was no difference in offering HIV testing by sex (32% vs. 35.6%) or by residents versus attendings (33.8% vs. 33.3%). Only 70 physicians (30.9%) were aware of current CDC recommendations of HIV screening with attendings more knowledgeable than residents (41.7% vs. 26%, P = 0.017).
EM and IM residents and attendings fail to offer HIV testing or assess for HIV transmission risk factors with sufficient frequency. There is also a gap in knowledge of the current CDC recommendations.
评估急诊医学(EM)和内科(IM)住院医师及主治医师对艾滋病病毒(HIV)的认知和态度。
对辛辛那提大学学术健康中心的内科和急诊医学医师进行一项包含41个问题的电子匿名调查。
232名医师(71.6%)完成了调查。与内科住院医师相比,急诊医学住院医师更有可能常规提供HIV检测(60.7%对27.8%,P = 0.0009)。总体而言,按性别提供HIV检测(32%对35.6%)或住院医师与主治医师相比(33.8%对33.3%)没有差异。只有70名医师(30.9%)知晓美国疾病控制与预防中心(CDC)目前关于HIV筛查的建议,主治医师比住院医师更了解(41.7%对26%,P = 0.017)。
急诊医学和内科住院医师及主治医师未能足够频繁地提供HIV检测或评估HIV传播风险因素。在对CDC当前建议的认知方面也存在差距。