HIV testing of junior doctors: exploring their experiences, perspectives and accounts: Table 1

Salkeld, Lee; McGeehan, S J; Chaudhuri, Ella; Kerslake, I M

doi:10.1136/jme.2008.027052

Cited by 5 publications

(4 citation statements)

References 14 publications

(7 reference statements)

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“…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. In UCH, HCT is prohibited for recruitment and employment purposes (University College Hospital/College of Medicine, 2005 )…”

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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“…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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“…The document recognises that one off testing is no guarantee against future infection, but falls back on the professional codes of practice from regulatory bodies, and the ongoing obligation of healthcare workers to seek professional advice (and testing if necessary), if they have been exposed to a serious communicable disease. The new guidelines have been criticised, 103 and it has been argued that in effect mandatory HIV testing has now been introduced for a large number of health care workers. 104…”

Section: Late Diagnosis and Testingmentioning

confidence: 99%

The HIV positive dentist in the United Kingdom – the dilemma of the undiagnosed clinician

Williams

2011

Br Dent J

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Since the time of Dr Acer, the introduction of highly active anti-retroviral therapy (HAART) has led to a dramatic decline in morbidity and mortality among patients infected with HIV. 14 In the United Kingdom, HIV/AIDS has been transformed from being a fatal disease to a chronic illness. 15 Antiretroviral therapy can reduce HIV type 1 viraemia to below the detection limit of ultra sensitive clinical assays (50 copies of HIV-1 RNA/ml). 16,17 Viral load is the chief predictor of risk of heterosexual transmission of HIV-1 and it is known that transmission is rare among persons with levels of less than 1,500 copies of HIV-1 RNA per millilitre. 18 Recent studies support the non-transmissibility of the disease from individuals effectively treated with ant-retrovirals. 19,20 The 2009 Beijing Declaration supports the view that oral healthcare professionals with HIV do not pose a risk of transmission to patients in the dental setting, providing: • The individual is under ongoing care by a suitably qualified HIV health care professional • The individual remains aware of his/ her health status and acts appropriately • Standard infection control is observed • Scientific evidence related to HIV transmission continues to be reviewed. 21 Some European countries now allow HIV positive dentists to work. 22 The current UKAP guidelines are under review, 23

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HIV testing of junior doctors: exploring their experiences, perspectives and accounts: Table 1

Cited by 5 publications

References 14 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

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

The HIV positive dentist in the United Kingdom – the dilemma of the undiagnosed clinician

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HIV testing of junior doctors: exploring their experiences, perspectives and accounts: Table 1

Cited by 5 publications

References 14 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

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

The HIV positive dentist in the United Kingdom – the dilemma of the undiagnosed clinician

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