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内科和急诊科医生对美国疾病控制与预防中心(CDC)当前的艾滋病毒检测建议缺乏准确了解,且很少提供艾滋病毒检测。

Internal medicine and emergency medicine physicians lack accurate knowledge of current CDC HIV testing recommendations and infrequently offer HIV testing.

作者信息

Mohajer Mayar Al, Lyons Michael, King Eileen, Pratt Jesse, Fichtenbaum Carl J

机构信息

1Department of Internal Medicine, University of Cincinnati Academic Health Center, Cincinnati, OH, USA.

出版信息

J Int Assoc Physicians AIDS Care (Chic). 2012 Mar-Apr;11(2):101-8. doi: 10.1177/1545109711430165. Epub 2012 Feb 14.

DOI:10.1177/1545109711430165
PMID:22337704
Abstract

OBJECTIVES

To evaluate the knowledge and attitudes of residents and attendings in emergency medicine (EM) and internal medicine (IM) about HIV.

METHODS

An electronic anonymous 41-question survey of IM and EM physicians at the University of Cincinnati Academic Health Center.

RESULTS

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).

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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)。

结论

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。

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