Unidad de Vigilancia de VIH, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain; Master of Science in Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States.
Unidad de Coordinación de la Cohorte de la Red de Investigación en Sida (CoRIS), Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
Enferm Infecc Microbiol Clin (Engl Ed). 2022 Mar;40(3):138-141. doi: 10.1016/j.eimce.2021.12.004. Epub 2021 Dec 27.
In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions (IC) related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed.
To characterize MO due to risk behaviors (directed) and due to IC (indicated) among people diagnosed with HIV in the Region of Madrid.
A total of 109 participants newly diagnosed with HIV were recruited from 7 health centers (April 2018-March 2019) by a telephone survey. Diagnostic opportunities were defined as any contact with the healthcare system in which an HIV test should have been carried out. Frequency of MO was calculated within the previous 2 years from HIV diagnosis.
Of the 32 directed and indicated diagnostic opportunities, 96.9% and 57.8% respectively resulted in MO. Overall, 83.8% of diagnostic opportunities resulted in MO.
MO, both directed and indicated, are an important area for improvement to reduce late diagnosis.
在西班牙，建议对存在 HIV 感染风险行为和与 HIV 感染相关的指标性疾病（IC）的人群进行 HIV 检测。漏诊的情况（MO）是指未遵循这些建议的情况。
描述马德里地区因风险行为（定向）和因指标性疾病（指示）导致的 HIV 感染者漏诊的情况。
通过电话调查，从 7 个卫生中心（2018 年 4 月至 2019 年 3 月）招募了 109 名新诊断为 HIV 的患者。诊断机会被定义为任何与医疗保健系统的接触，其中应该进行 HIV 检测。从 HIV 诊断前 2 年内计算 MO 的频率。
在 32 个定向和指示性的诊断机会中，分别有 96.9%和 57.8%导致 MO。总体而言，83.8%的诊断机会导致 MO。
无论是定向还是指示性的 MO，都是减少晚期诊断的重要改进领域。
