Vol 90: Low levels of HIV test coverage in clinical settings in the UK: a systematic review of adherence to 2008 guidelines.Report as inadecuate



 Vol 90: Low levels of HIV test coverage in clinical settings in the UK: a systematic review of adherence to 2008 guidelines.


Vol 90: Low levels of HIV test coverage in clinical settings in the UK: a systematic review of adherence to 2008 guidelines. - Download this document for free, or read online. Document in PDF available to download.

Download or read this book online for free in PDF: Vol 90: Low levels of HIV test coverage in clinical settings in the UK: a systematic review of adherence to 2008 guidelines.
This article is from Sexually Transmitted Infections, volume 90.AbstractObjectives: To quantify the extent to which guideline recommendations for routine testing for HIV are adhered to outside of genitourinary medicine GUM, sexual health SH and antenatal clinics. Methods: A systematic review of published data on testing levels following publication of 2008 guidelines was undertaken. Medline, Embase and conference abstracts were searched according to a predefined protocol. We included studies reporting the number of HIV tests administered in those eligible for guideline recommended testing. We excluded reports of testing in settings with established testing surveillance GUM-SH and antenatal clinics. A random effects meta-analysis was carried out to summarise level of HIV testing across the studies identified. Results: Thirty studies were identified, most of which were retrospective studies or audits of testing practice. Results were heterogeneous. The overall pooled estimate of HIV test coverage was 27.2% 95% CI 22.4% to 32%. Test coverage was marginally higher in patients tested in settings where routine testing is recommended 29.5% than in those with clinical indicator diseases 22.4%. Provider test offer was found to be lower 40.4% than patient acceptance of testing 71.5%. Conclusions: Adherence to 2008 national guidelines for HIV testing in the UK is poor outside of GUM-SH and antenatal clinics. Low levels of provider test offer appear to be a major contributor to this. Failure to adhere to testing guidelines is likely to be contributing to late diagnosis with implications for poorer clinical outcomes and continued onwards transmission of HIV. Improved surveillance of HIV testing outside of specialist settings may be useful in increasing adherence testing guidelines.



Author: Elmahdi, Rahma; Gerver, Sarah M; Gomez Guillen, Gabriela; Fidler, Sarah; Cooke, Graham; Ward, Helen

Source: https://archive.org/







Related documents