HIV Testing of Health Care Workers in England - A Flawed Policy

Salkeld, Lee; McGeehan, S J

doi:10.1258/jhsrp.2009.009095

Cited by 6 publications

(5 citation statements)

References 30 publications

(32 reference statements)

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“…Two-thirds of respondents believe HCT should be part of pre-employment medical examination for all prospective health care workers and that they should submit to mandatory HCT, at least once a year. Mandatory HIV testing has been introduced for a large number of HCWs in the developed world (Salkeld & McGeehan, 2010 ). Salkeld, McGeehan, Chaudhuri, and Kerslake ( 2009 ) reported that junior doctors who were offered an HIV test as part of their pre-employment occupational health checks by National Health Service Trusts in the United Kingdom were highly critical of the manner the HIV test was offered.…”

Section: Discussionmentioning

confidence: 99%

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Onadeko

Balogun

Onigbogi

et al. 2017

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Health care workers (HCWs) are at risk of occupational exposure to HIV. Their attitude to HIV-positive patients influences patients’ willingness and ability to access quality care. HIV counselling and testing (HCT) services are available to inform HCWs and patients about their status. There is little information about HCT uptake and attitude to HIV-positive patients among HCWs in tertiary health facilities in Nigeria. The aim of this study was to determine occupational exposure and attitude to HIV-positive patients and level of uptake of HCT services among HCWs in a tertiary hospital in Nigeria. A cross-sectional design was utilized. A total of 977 HCWs were surveyed using semi-structured, self-administered questionnaires. Nurses and doctors comprised 78.2% of the respondents. Their mean age was 35 ± 8.4 years. Almost half, 47.0%, reported accidental exposure to blood and body fluids (BBFs) in the preceding year. The main predictor of accidental exposure to BBFs in the last year was working in a surgical department, OR = 1.7, 95% CI (1.1–2.6). HCWs aged <40 years, OR = 5.5, 95% CI (1.9–15.9), who had worked for >5 years, OR = 3.6, 95% CI (1.4–9.3) and who work in nursing department, OR = 6.8, 95% CI (1.7–27.1) were more likely to be exposed to BBFs. Almost half, 52.9%, had accessed HCT services. Predictors for HCT uptake were age <40 years OR = 1.6, 95% CI (1.1–2.4), having worked for >5 years OR = 1.5, 95% CI (1.03–2.2) and working in medical department OR = 1.7, 95% CI (1.1–2.8). Respondents in nursing departments were more likely to require routine HIV test for all patients, OR = 3.9, 95% CI (2.4–6.2). HCWs in the laboratory departments were more likely to believe that HIV patients should be on separate wards, OR = 3.6, 95% CI (1.9–7.0). HCWs should be protected and encouraged to access HCT services in order to be effective role models in the prevention of HIV/AIDS.

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Section: Discussionmentioning

confidence: 99%

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Onadeko

Balogun

Onigbogi

et al. 2017

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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“…Moreover, HCWs are uniquely placed in a setting which can provide easy access to testing and advice. Most nursing posts in the NHS, however, do not involve EPPs and there is opposition towards mandatory testing for all new HCWs because of ethical and cost-effectiveness considerations [22]. The main aim of the current guidelines is to protect patients but more could be done to emphasize the benefits to HCWs of an early HIV diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Tuberculosis and HIV co-infection in healthcare workers in England and Wales, 1999–2005

Crofts¹,

Kruijshaar²,

Delpech³

et al. 2011

Epidemiol. Infect.

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This study used linked national tuberculosis (TB) and HIV surveillance data to investigate recent trends and factors associated with HIV co-infection (TB-HIV) in healthcare workers (HCWs) with TB in England and Wales. Methods applied were the χ2 trend test and logistic regression. Overall 14% (231/1627) of HCWs with TB were co-infected with HIV, increasing from 8% in 1999 to 14% in 2005 (P<0·001). Most (78%) HCWs were non-UK born and 74% of these developed TB ⩾2 years post-entry. Being born in Sub-Saharan Africa was an independent predictor for TB-HIV, especially for female HCWs (odds ratio 66·5, 95% confidence interval 16·3-271·1), who also had a lower median CD4 count than other co-infected women (106/mm3, interquartile range 40-200, P<0·01). Voluntary HIV testing of new HCWs should be encouraged as an opportunity for early diagnosis. Post-entry, a high index of clinical suspicion for TB in those most at risk remains important.

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“…Medical and dental students are also required to undergo additional health clearance before being accepted onto their course. The new guidelines have been criticized,143 and it has been argued that in effect mandatory HIV testing has now been introduced for a large number of HCWs 144…”

Section: Hiv-positive Health Care Workersmentioning

confidence: 99%

Confidentiality of the medical records of HIV-positive patients in the United Kingdom – a medicolegal and ethical perspective

Williams¹

2011

RMHP

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This article examines the legal and ethical issues that surround the confidentiality of medical records, particularly in relation to patients who are HIV positive. It records some historical background of the HIV epidemic, and considers the relative risks of transmission of HIV from individual to individual. It explains the law as it pertains to confidentiality, and reports the professional guidance in these matters. It then considers how these relate to HIV-positive individuals in particular.

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HIV Testing of Health Care Workers in England - A Flawed Policy

Cited by 6 publications

References 30 publications

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Tuberculosis and HIV co-infection in healthcare workers in England and Wales, 1999–2005

Confidentiality of the medical records of HIV-positive patients in the United Kingdom – a medicolegal and ethical perspective

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HIV Testing of Health Care Workers in England - A Flawed Policy

Cited by 6 publications

References 30 publications

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Tuberculosis and HIV co-infection in healthcare workers in England and Wales, 1999–2005

Confidentiality of the medical records of HIV-positive patients in the United Kingdom &ndash; a medicolegal and ethical perspective

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Confidentiality of the medical records of HIV-positive patients in the United Kingdom – a medicolegal and ethical perspective