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HIV Med. 2013 Oct;14 Suppl 3:57-60. doi: 10.1111/hiv.12061.

Feasibility and acceptability of HIV screening through the use of rapid tests by general practitioners in a Brussels area with a substantial African community.

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  • 1Division of Infectious Diseases, Centre Hospitalier Universitaire (CHU) Saint-Pierre, Brussels, Belgium.

Abstract

OBJECTIVES:

To assess:1) if HIV screening with rapid tests in neighbourhoods with a substantial African community is feasible and acceptable among GPs and patients; 2) HIV seroprevalence.

METHODS:

Multicenter prospective study with 10 trained physicians. Use of HIV standard test and INSTI Ultrarapid test.

INCLUSION CRITERIA:

MSM, sex worker, multiple sexual partners, having returned or coming from a country with high HIV prevalence, IVDU, Indicator conditions as defined by HIV Indicator Diseases across Europe Study, having an AIDS-defining illness, having had a recent pregnancy or abortion; or presenting other risks.

RESULTS:

From August 2010 to August 2011, 10 trained GPs offered an HIV test to 224 patients: 51% ♀, 48% ♂, 43% Caucasians, 45% Africans.

INCLUSION CRITERIA:

32% "high risk group", 9% returning from an endemic country, 29% with an indicator condition; 12 patients (6%) refused the standard test. The INSTI was offered to 217(97%), 197 performed with 2 reactive rapid tests confirmed. The seroprevalence according to ethnic origin was 0% among Caucasians and 2.2% among Africans and was 1.5% among patients with an indicator condition. 1087 consecutive consultations of the same GPs were recorded: 42% patients had ≥ 1 inclusion criteria among which 41% of offered tests, that is to say 59% of "missed opportunities". The reasons for not offering the test as recorded for 55% of patients:"not indicated" 44.5%, "no time" 33%, "impossible to propose" 15%, test completed previously 11%, known HIV-positive 4%.

CONCLUSIONS:

Standard and rapid tests are well received by patients but were usually not offered by doctors who have been trained.

© 2013 British HIV Association.

KEYWORDS:

African community; HIV testing policy; family practice; missed opportunities; rapid HIV test

[PubMed - indexed for MEDLINE]
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