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HIV screening guidance - ignored or forgotten?

Hannah Vidis Humphries1, Phoebe Hartop1

  • 1University of Birmingham.

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PubMed
Summary

Primary care centers in high-HIV-risk areas are not adhering to guidelines for offering HIV testing to new patients. Staff were largely unaware of the guidance, leading to zero tests being offered in this audit.

Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • General Practice

Background:

  • NICE guidance recommends HIV testing for new patients aged 15-59 in high-risk areas.
  • Testing facilitates early antiretroviral therapy, improving patient outcomes and reducing transmission.
  • Normalizing HIV testing can decrease stigma and increase uptake.

Purpose of the Study:

  • To audit adherence to HIV testing guidelines in a primary care setting in a high-risk area.
  • To identify barriers to guideline implementation.
  • To make recommendations for improving HIV testing rates.

Main Methods:

  • Retrospective audit of 310 new patient records (October 2021-October 2022).
  • Survey distributed to primary care staff to ascertain reasons for non-adherence.

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  • Analysis of patient records and staff survey responses.

    • Main Results:

    • None of the 310 audited patients were offered an HIV test.
    • 75% of staff were unaware of the HIV testing guideline.
    • 66.7% of staff had never ordered an HIV test, and 83% felt unsupported.

    Conclusions:

    • Lack of awareness regarding HIV testing guidelines and local risk is a significant barrier.
    • Current adherence to HIV testing recommendations in this primary care setting is critically low.
    • Further audits in similar settings are recommended to assess the generalizability of these findings.