Impact and barriers of an HIV rapid test program implementation at an oncological referral center in Mexico
| Autor: | Gonzalez-Rodriguez Andrea, Perez-Jimenez Carolina, Volkow-Fernandez Patricia, Martin-Onraet Alexandra |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Hematology department medicine.medical_specialty Human immunodeficiency virus (HIV) HIV Infections Dermatology medicine.disease_cause Ambulatory Care Facilities 03 medical and health sciences 0302 clinical medicine Test program Prevalence medicine Humans Mass Screening Pharmacology (medical) In patient 030212 general & internal medicine Positive test Mexico Referral and Consultation 030505 public health business.industry Gynecology department Public Health Environmental and Occupational Health Test (assessment) Infectious Diseases Family medicine Referral center Female 0305 other medical science business Program Evaluation |
| Zdroj: | International Journal of STD & AIDS. 29:884-889 |
| ISSN: | 1758-1052 0956-4624 |
| DOI: | 10.1177/0956462418762235 |
| Popis: | The aim of this study was to evaluate the implementation of human immunodeficiency virus (HIV) screening with rapid tests in an oncologic center in Mexico City, report the HIV prevalence, and describe contacts screening and linkage to HIV care while identifying barriers to the performance of the program. In 2014, an HIV rapid test program was implemented in four departments of the hospital “Instituto Nacional de Cancerología”. From 2014 to 2016, 3032 HIV rapid tests were performed in the hospital. The overall HIV prevalence was 0.8%, with the highest prevalence in the Hematology Department (2.4%). In the Gynecology Department, prevalence was 0.05%. Only 25 and 22 tests were performed in the lung cancer and germ cell tumor clinic, respectively, with one positive test. The health staff not offering the test was the main limitation to the full implementation of the program in those departments. The contacts screening led to three positive cases. The acceptance of the test was 99%. Patients who tested positive were seen by an infectious diseases physician on the same day the test was performed. Rapid HIV tests are a useful tool to expand HIV diagnosis in patients with cancer and to establish a rapid linkage to HIV care. Staff education needs to be improved to raise awareness of the health staff for a successful scale up of the program. |
| Databáze: | OpenAIRE |
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