Cribado de VIH/sida en las farmacias comunitarias

Guayta-Escolies, Rafel; Giménez, Albert; Rifà, Benet; Barau, Mercè; Gascón, Pilar; Dronda, Àngels; Martínez, José Luis

doi:10.1016/j.gaceta.2013.07.005

Cited by 4 publications

(6 citation statements)

References 3 publications

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“…[ 29 , 30 ] On the other hand, pharmacies have proven to be a very valuable option for heterosexual population, confirming what was found on preliminary evaluations. [ 18 – 20 ] MSW is one of the most difficult groups to reach for early diagnosis. [ 27 ] Testing services designed for most-at-risk populations might not be appealing for them and some initiatives that do aim at them have shown relatively low outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…More in-depth information about the testing process and the confirmation pathways on each programme has been published elsewhere. [ 18 – 20 ]…”

Section: Methodsmentioning

confidence: 99%

“…The Basque and the Catalan programmes were launched in 2009, while the one in Castilla y León started in 2011 and they have been running since then. Although data on these programmes has been previously published, [ 18 – 20 ], they are only partial reports dealing mostly with the early stages of operation or piloting time. This study seeks to present a more comprehensive view of all three programmes, including longer operating time and therefore more robust results.…”

Section: Introductionmentioning

confidence: 99%

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Widening the Access to HIV Testing: The Contribution of Three In-Pharmacy Testing Programmes in Spain

et al. 2015

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Background and ObjectiveSpain has implemented several in-pharmacy HIV testing programmes performed by pharmacists as part of their everyday routine. We aim to assess the feasibility and the main outcomes of three programmes implemented in three Spanish regions with different sociological profiles and also different epidemiology for HIV.MethodsThe characteristics of the 24151 people tested between 2009 and 2013 at 74 urban pharmacies are studied. We compare the main outcomes of the programmes with those of each Regional HIV Surveillance System (RHSS) assessing the contribution to the total new diagnosis in each region and if priority groups are being reached.Results45.7% were heterosexual men (MSW), 14.4% men who have sex with men (MSM), and 27% women. The 35% were younger than 30 and 9.6% foreigners. The 52% were previously untested, and women were the most likely to be untested. The three programmes altogether diagnosed 226 people, resulting in a global prevalence of 0.9% (95%CI: 0.8–1.1); 3.4% in MSM (95%CI: 2.8–4.0). The prevalence among Spaniards was 0.8% (0.7–1.0) vs. 2.2 (1.6–2.9) among foreigners. The percentages of MSM diagnosed by all three programmes were higher than the one reported by their respective RHSS. Thirty four percent of the reactive MSM and the 71.4% of the reactive MSW did not have a previous HIV test although big testing history differences were observed across the programmes. Altogether, these services contributed with the 10.6% of all HIV diagnoses in these regions.ConclusionsIn-pharmacy HIV testing programmes are a valuable testing option, having been able to uncover 1 out of 10 the new diagnoses reported in each region. They showed a good capacity of reaching and diagnosing previously untested populations, not only a priority population such as MSM but also heterosexual population who are more affected by delayed diagnosis. They seem to be particularly suitable for regions without large cities and specific HIV diagnostic services.

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Section: Discussionmentioning

confidence: 99%

“…More in-depth information about the testing process and the confirmation pathways on each programme has been published elsewhere. [ 18 – 20 ]…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Widening the Access to HIV Testing: The Contribution of Three In-Pharmacy Testing Programmes in Spain

et al. 2015

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“…En España, hay una comprensión de las farmacias comunitarias como centro de salud, por su proximidad, accesibilidad, equilibrio territorial, conexión en red y confianza ciudadana, lo que puede complementar idóneamente los programas de prevención pri maria y secundaria, como en el caso de la infección por el VIH. No obstante, es cierto que debería asegurarse su correcta derivación, a fin de garantizar su inclusión y seguimiento efectivo en la atención primaria de salud o en las unidades especializadas de referencia 19 . El estudio realizado en la ciudad de Barcelona para evaluar la experiencia de un trabajo conjunto entre un centro de Atención Primaria y las farmacias comunitarias, apunta una mayor capacidad de actuación, más recursos para solventar problemas, un alto grado de satisfacción de los profesionales y mejores resultados asistenciales para la población 20 .…”

Section: Discussionunclassified

“…El estudio realizado por Guayta-Escolies et al 19 en hospitales universitarios en Brasil, apunta que la prescripción informatizada representa un gran progreso entre las estrategias utilizadas para minimizar los errores de medicación producidos por prescripciones mal formuladas, sin embargo, no erradica la posibilidad la aparición de error, necesitándose algunas modificaciones 23 . La receta electrónica, a su vez, posibilita la integración en un único plan de la medicación del paciente y de todas las prescripciones hechas por diferentes profesionales de salud, independientemente del nivel del profesional de salud o entidad, siendo una herramienta esencial para mejorar la calidad de la prescripción y su seguridad clínica 24 .…”

Section: Discussionunclassified