Systematic Review: Strategies for Improving HIV Testing and Detection Rates in European Hospitals

Undiagnosed HIV infection is a prominent clinical issue throughout Europe that requires the continuous attention of all healthcare professionals and policymakers to prevent missed testing opportunities and late diagnosis. This systematic review aimed to evaluate interventions to increase HIV testing...

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Vydané v:Microorganisms (Basel) Ročník 12; číslo 2; s. 254
Hlavní autori: Vliegenthart-Jongbloed, Klaske J., Vasylyev, Marta, Jordans, Carlijn C. E., Bernardino, Jose I., Nozza, Silvia, Psomas, Christina K., Voit, Florian, Barber, Tristan J., Skrzat-Klapaczyńska, Agata, Săndulescu, Oana, Rokx, Casper
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Switzerland MDPI AG 25.01.2024
MDPI
Predmet:
AIDS
capital
Diagnosis
Eastern European region
Emergency medical care
Europe
health services
HIV
HIV indicator conditions
HIV infection
HIV infections
HIV screening
HIV testing
Hospitals
Human immunodeficiency virus
Infections
Intervention
late diagnosis
Medical personnel
Medical tests
Methods
Sexually transmitted diseases
STD
Systematic Review
undiagnosed HIV
Europe
Netherlands
United Kingdom > UK
Eastern Europe
Eastern European region
late diagnosis
HIV screening
HIV indicator conditions
Europe
undiagnosed HIV
HIV test strategies
AIDS
HIV screening strategies
ISSN:2076-2607, 2076-2607
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Shrnutí:Undiagnosed HIV infection is a prominent clinical issue throughout Europe that requires the continuous attention of all healthcare professionals and policymakers to prevent missed testing opportunities and late diagnosis. This systematic review aimed to evaluate interventions to increase HIV testing rates and case detection in European hospitals. Out of 4598 articles identified, 29 studies fulfilled the selection criteria. Most of the studies were conducted in single Western European capital cities, and only one study was from Eastern Europe. The main interventions investigated were test-all and indicator-condition-based testing strategies. Overall, the prevalence of undiagnosed HIV was well above 0.1%. The studied interventions increased the HIV testing rate and the case detection rate. The highest prevalence of undiagnosed HIV was found with the indicator-condition-driven testing strategy, whereas the test-all strategy had the most profound impact on the proportion of late diagnoses. Nevertheless, the HIV testing rates and case-finding varied considerably across studies. In conclusion, effective strategies to promote HIV testing in European hospitals are available, but relevant knowledge gaps regarding generalizability and sustainability remain. These gaps require the promotion of adherence to HIV testing guidelines, as well as additional larger studies representing all European regions.
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ISSN:2076-2607
2076-2607
DOI:10.3390/microorganisms12020254