HIV Indicator Diseases in Hospital and Primary Care

Summary

Patients are frequently evaluated by physicians for medical work-up of HIV indicator conditions in hospital and in primary care at the general practitioner. Testing for HIV is indicated with HIV indicator disorder but often omitted in clinical work-up. Besides the fact that HIV testing is forgotten, there are other reasons such as an underestimation of the risk of HIV in the event of indicator disorders, stigma and difficulties in discussing the test with a patient. Also and more relevant for primary care than for the hospital, practical challenges can exist for a patient to go to a laboratory, or costs are a hurdle.

This project focuses on improving HIV indicator condition driven testing in different settings of the HIV epidemic, initially in the Netherlands as low HIV prevalence setting followed by an assessment of its benefit in different international settings. A specific focus will also be on the Rotterdam area in the Netherlands which has a high prevalence of undiagnosed HIV in the Netherlands. The ultimate aim is to decrease the number of undiagnosed HIV in populations, improve the 90-90-90 HIV cascade of care goals particularly its first pillar, and to help supporting the UNAIDS goal to end HIV/AIDS

Conditions

• HIV Infections
• Primary Health Care
• Acquired Immunodeficiency Syndrome
• Sexually Transmitted Diseases, Viral
• Herpes Zoster
• Dermatitis, Seborrheic
• Pneumonia
• Infectious Mononucleosis
• Psoriasis
• Candida Infection
• Lymphadenopathy
• Uterine Cervical Dysplasia
• Weight Loss
• Diarrhea Chronic
• Leukopenia
• Thrombocytopenia
• AIDS Defining Illness
• HIV Indicator Condition

Interventions

BEHAVIORAL

Peer to peer feedback

HIV experts contact non-HIV specialised treating physicians on individual patient care to recommend HIV testing

DIAGNOSTIC_TEST

HIV rapid test

Free HIV rapid tests are provided to non-HIV specialised treating physicians to use in individual patient care in patients at risk of HIV

Sponsors & Collaborators

• Huisartspraktijk Gezondheidscentrum Mathenesserlaan

  collaborator UNKNOWN

• TU Delft department of Artificial Intelligence and MyTomorrows

  collaborator UNKNOWN

• Huisartsen Groep Rotterdam

  collaborator UNKNOWN

• AwareHIV Project Group

  collaborator UNKNOWN

• Huisartspraktijk Handellaan

  collaborator UNKNOWN

• Huisartspraktijk Leerdam

  collaborator UNKNOWN

• Huisartspraktijk Capelle ad IJssel

  collaborator UNKNOWN

• Leiden University Medical Center

  collaborator OTHER

• Maasstadziekenhuis

  collaborator UNKNOWN

• Rijnstate Hospital

  collaborator OTHER

• Medical Center Haaglanden

  collaborator OTHER

• Erasmus Medical Center

  lead OTHER

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-01-01

Primary Completion

2024-05-31

Completion

2024-05-31

Countries

• Netherlands

Study Locations