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[西班牙初级保健中HIV的早期诊断。基于指标条件、行为标准和原籍地区进行目标筛查的一项试点研究结果]

[Early diagnosis of HIV in Primary Care in Spain. Results of a pilot study based on targeted screening based on indicator conditions, behavioral criteria and region of origin].

作者信息

Agustí Cristina, Martín-Rabadán María, Zarco José, Aguado Cristina, Carrillo Ricard, Codinachs Roger, Carmona Jose Manuel, Casabona Jordi

机构信息

Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Departament de Salut, Generalitat de Catalunya, Badalona, Barcelona, España; Institut d'Investigació Germans Trias i Pujol (IGTP), Badalona, Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), España.

Centro de Salud Can Misses, Ibiza, Illes Balears, España.

出版信息

Aten Primaria. 2018 Mar;50(3):159-165. doi: 10.1016/j.aprim.2017.02.008. Epub 2017 Jun 16.

DOI:10.1016/j.aprim.2017.02.008
PMID:28629887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6836963/
Abstract

OBJECTIVES

To estimate the prevalence of HIV infection in patients diagnosed with an indicator condition (IC) for HIV and/or risk behavior for their acquisition and/or coming from high prevalence countries. To determine the acceptability and feasibility of offering HIV testing based on IC and behavioral and origin criteria in Primary Care (PC).

DESIGN

Cross-sectional study in a convenience sample.

LOCATION

Six PC centers in Spain.

PARTICIPANTS

The inclusion criteria were: patients between 16 and 65years old who presented at least one of the proposed ICs and/or at least one of the proposed behavioral and/or origin criteria. A total of 388 patients participated.

INTERVENTION

HIV serology was offered to all patients who met the inclusion criteria.

MAIN MEASUREMENTS

Description of IC frequency, behavioral and origin criteria. Prevalence of HIV infection. Level of acceptability and feasibility of the HIV screening based on IC and behavioral and origin criteria.

RESULTS

A total of 174 patients had an IC (44.84%). The most common behavioral criterion was: having unprotected sex at some time in life with people who did not know their HIV status (298; 76.8%). Four HIV+ patients (1.03%) were diagnosed. All had an IC and were men who had sex with men. The level of acceptability in PC was high.

CONCLUSIONS

Offering HIV testing to patients with IC and behavioral criteria is feasible and effective in PC.

摘要

目的

评估被诊断患有艾滋病毒指示性疾病（IC）和/或有感染艾滋病毒的风险行为及/或来自高流行率国家的患者中艾滋病毒感染的患病率。确定在初级保健（PC）中基于IC、行为和来源标准提供艾滋病毒检测的可接受性和可行性。

设计

便利样本的横断面研究。

地点

西班牙的六个初级保健中心。

参与者

纳入标准为：年龄在16至65岁之间，出现至少一项提议的IC和/或至少一项提议的行为和/或来源标准的患者。共有388名患者参与。

干预措施

为所有符合纳入标准的患者提供艾滋病毒血清学检测。

主要测量指标

IC频率、行为和来源标准的描述。艾滋病毒感染的患病率。基于IC、行为和来源标准的艾滋病毒筛查的可接受性和可行性水平。

结果

共有174名患者患有IC（44.84%）。最常见的行为标准是：一生中曾与不知其艾滋病毒感染状况的人发生无保护性行为（298例；76.8%）。诊断出四名艾滋病毒阳性患者（1.03%）。所有患者均患有IC，且均为男男性行为者。初级保健中的可接受性水平较高。

结论

在初级保健中为患有IC和行为标准的患者提供艾滋病毒检测是可行且有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dca/6836963/d5dffc298d98/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dca/6836963/d5dffc298d98/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dca/6836963/d5dffc298d98/gr1.jpg

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