Rapid HIV test in family practice

Poirier, C.; Aymeric, S.; Grammatico‐Guillon, Leslie; Lebeau, Jean-Pierre; Bernard, Louis; Bret, P. Le; Moal, G. Le; Gras, Guillaume

doi:10.1016/j.medmal.2015.03.010

Cited by 6 publications

(13 citation statements)

References 25 publications

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“…Novel HIV testing technologies were employed by 40 studies in a wide range of clinical settings to increase testing coverage; the majority utilized rapid testing (n = 36) [18,19,22,24,25,34,36,45,46,[48][49][50]56,57,59,65,75,77,81,83,85,88,89,[99][100][101]107,113,117,129,132,134,137,139,141] while four utilized self-sampling (n = 3) [44,52,102] and self-testing strategies (n = 1) [108]. Two of the four self-sampling studies used oral fluid sampling while the self-test required a blood sample.…”

Section: Testing Provision Strategiesmentioning

confidence: 99%

“…Results also suggest that rapid testing is acceptable to both groups (patient studies, n = 5; provider studies, n = 6), with providers willing to use rapid tests [24,53,56,57,107] and finding their interpretation easy [50]. Some feasibility studies highlighted that nontraditional health care settings can target populations not previously tested for HIV (n = 4) [18,85,132,145], with the reported percentage of first-time testers in such settings ranging from 51 to 75%.…”

Section: Feasibility and Acceptabilitymentioning

confidence: 99%

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HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

et al. 2019

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Objectives Despite the availability of HIV testing guidelines to facilitate prompt diagnosis, late HIV diagnosis remains high across Europe. The study synthesizes recent evidence on HIV testing strategies adopted in health care settings in the European Union/European Economic Area (EU/EEA). Methods Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed and systematic searches were run in five databases (2010–2017) to identify studies describing HIV testing interventions in health care settings in the EU/EEA. The grey literature was searched for unpublished studies (2014–2017). Two reviewers independently performed study selection, data extraction and critical appraisal. Results One hundred and thirty intervention and/or feasibility studies on HIV testing in health care settings were identified. Interventions included testing provision (n = 94), campaigns (n = 14) and education and training for staff and patients (n = 20). HIV test coverage achieved through testing provision varied: 2.9–94% in primary care compared to 3.9–66% in emergency departments. HIV test positivity was lower in emergency departments (0–1.3%) and antenatal services (0–0.05%) than in other hospital departments (e.g. inpatients: 0–5.3%). Indicator condition testing programmes increased HIV test coverage from 3.9–72% before to 12–85% after their implementation, with most studies reporting a 10–20% increase. There were 51 feasibility and/or acceptability studies that demonstrated that HIV testing interventions were generally acceptable to patients and providers in health care settings (e.g. general practitioner testing acceptable: 77–93%). Conclusions This review has identified several strategies that could be adopted to achieve high HIV testing coverage across a variety of health care settings and populations in the EU/EEA. Very few studies compared the intervention under investigation to a baseline, but, where this was assessed, data suggested increases in testing.

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Section: Testing Provision Strategiesmentioning

confidence: 99%

Section: Feasibility and Acceptabilitymentioning

confidence: 99%

HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

et al. 2019

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“… Menacho, 2013 [ 44 ] Spain Interventional study in 4 primary care centers in Barcelona, 2009–2011 775 patients included in the group with ICs and 6604 patients in the group without ICs Testing based on selected ICs commonly seen in general practice was feasible and more efficient than non-targeted HIV testing. Poirier, 2015 [ 38 ] France Multi-center observational and interventional study offering rapid HIV testing, 2012–2013 352 GPs participating in the questionnaire survey and 23 GPs volunteering to use rapid testing 71% in favour of global screening of the population from 15 to 70 years of age, without any risk factor. Rayment, 2012 [ 39 ] UK Multi-center cross-sectional questionnaire survey combined with and interventional study offering HIV testing, 2009–2010 144 primary care staff, 1320 primary care patients 75% of primary care staff felt comfortable to provide HIV testing to all patients.…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, the use of rapid tests, both on oral fluid and finger prick blood, was received favourably. It was perceived as quick, highly acceptable to patients and as reducing the risk of patients not coming back for their test results [ 36 – 38 , 50 , 51 ]. However, many GPs did not know how to use them [ 38 , 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…It was perceived as quick, highly acceptable to patients and as reducing the risk of patients not coming back for their test results [ 36 – 38 , 50 , 51 ]. However, many GPs did not know how to use them [ 38 , 50 ]. Potential test interpretation errors, the complexity of quality control and the significantly longer consultation time were considered as obstacles to the use of rapid tests in daily practice [ 37 , 38 , 50 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

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HIV testing within general practices in Europe: a mixed-methods systematic review

et al. 2018

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BackgroundLate diagnosis of HIV infection remains a key challenge in Europe. It is acknowledged that general practitioners (GPs) may contribute greatly to early case finding, yet there is evidence that many diagnostic opportunities are being missed. To further promote HIV testing in primary care and to increase the utility of available research, the existing evidence has been synthesised in a systematic review adhering to the PRISMA guidelines.MethodsThe databases PubMed, Scopus and Embase were searched for the period 2006–2017. Two authors judged independently on the eligibility of studies. Through a mixed-methods systematic review of 29 studies, we provide a description of HIV testing in general practices in Europe, including barriers and facilitators.ResultsThe findings of the study show that although various approaches to target patients are used by GPs, most tests are still carried out based on the patient’s request. Several barriers obstruct HIV testing in general practice. Included are a lack of communication skills on sexual health, lack of knowledge about HIV testing recommendations and epidemic specificities, difficulties with using the complete list of clinical HIV indicator diseases and lack of experience in delivering and communicating test results. The findings also suggest that the provision of specific training, practical tools and promotion programmes has an impact on the testing performance of GPs.ConclusionsGPs could have an increased role in provider-initiated HIV-testing for early case finding. To achieve this objective, solutions to the reported barriers should be identified and testing criteria adapted to primary healthcare defined. Providing guidance and training to better identify priority groups for HIV testing, as well as information on the HIV epidemic’s characteristics, will be fundamental to increasing awareness and testing by GPs.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6107-0) contains supplementary material, which is available to authorized users.

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Simultaneous Human Immunodeficiency Virus-Hepatitis B-Hepatitis C Point-of-Care Tests Improve Outcomes in Linkage-to-Care: Results of a Randomized Control Trial in Persons Without Healthcare Coverage

Bottéro

Boyd

Gozlan

et al. 2015

Open Forum Infectious Diseases

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Rapid HIV test in family practice

Cited by 6 publications

References 25 publications

HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

HIV testing strategies employed in health care settings in the European Union/European Economic Area (EU/EEA): evidence from a systematic review

HIV testing within general practices in Europe: a mixed-methods systematic review

Simultaneous Human Immunodeficiency Virus-Hepatitis B-Hepatitis C Point-of-Care Tests Improve Outcomes in Linkage-to-Care: Results of a Randomized Control Trial in Persons Without Healthcare Coverage

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