Esson Gavin A, Holme S A
Department of Dermatology, Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh, UK.
Int J STD AIDS. 2018 May;29(6):611-613. doi: 10.1177/0956462417731679. Epub 2017 Sep 27.
Forty percent of individuals have late-stage HIV at the time of diagnosis, resulting in increased morbidity. Identifying key diseases which may indicate HIV infection can prompt clinicians to trigger testing, which may result in more timely diagnosis. The British HIV Association has published guidelines on such indicator diseases in dermatology. We audited the practice of HIV testing in UK dermatologists and General Practitioners (GPs) and compared results with the national guidelines. This audit showed that HIV testing in key indicator diseases remains below the standard set out by the national guidelines, and that GPs with special interest in dermatology have a lower likelihood for testing, and lower confidence when compared to consultants, registrars and associate specialists. Large proportions of respondents believed further training in HIV testing would be beneficial.
40%的个体在诊断时已处于HIV晚期，导致发病率增加。识别可能提示HIV感染的关键疾病可促使临床医生进行检测，从而可能实现更及时的诊断。英国HIV协会已发布关于皮肤科此类指示性疾病的指南。我们对英国皮肤科医生和全科医生（GP）的HIV检测实践进行了审核，并将结果与国家指南进行了比较。此次审核表明，关键指示性疾病的HIV检测仍低于国家指南规定的标准，且对皮肤科有特殊兴趣的全科医生进行检测的可能性较低，与顾问医生、住院医生和副专科医生相比，信心也较低。很大比例的受访者认为进一步的HIV检测培训将有所帮助。
