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M94A2162.TXT
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1994-10-25
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Document 2162
DOCN M94A2162
TI Requests of serologic HIV tests in general practice and in hospital
outpatient clinics.
DT 9412
AU Vasco M; Pimpao V; Carvalho L; Lucas M; Sousa A; Victorino R; University
Hospital of Santa Maria, Dept. of Medicine 2, Lisboa,; Portugal.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):367 (abstract no. PD0074). Unique
Identifier : AIDSLINE ICA10/94370413
AB OBJECTIVE: To describe the patterns of use of serologic HIV tests in
general practice and in hospital outpatient clinics. METHODS:
Cross-sectional study, lasting from 93/03/01 until 94/02/28. Eighty
general practitioners (GP) and 59 hospital specialists (HS) agreed to
participate. They were asked to complete a questionnaire for each
request of HIV tests. RESULTS: By 31 December 1993, 43 GP and 15 HS had
requested at least one HIV test. The total number of requests was 569
(mean: GP = 12.5, HS = 2.1). Risk behaviors were classified as: homo or
bisexuals 5% , drug addicts 14%, heterosexuals with multiple partners
21% and with no identified risk behavior 60%. The initiative of the
request came from clients in 24% of cases and from doctors in 75%. The
motives of the request were: risk behavior 30%, symptoms suggesting HIV
infection 4%, pregnancy 51% and others 15%. Twenty tests were ELISA
positive and 17 were confirmed positive by Western-blot. The percentage
of positive tests was 31% in homo/bisexuals, 11% in drug-addicts, 4% in
heterosexuals with partners with risk behavior and 0.3% in cases with no
identified risk behavior. Patients were: asymptomatics 12 cases, ARC 2
cases, AIDS 3 cases. CONCLUSIONS: GPs tend to request HIV tests more
frequently than HS. Pregnant women represent more than 50% of the
requests. Seropositivity for HIV seems to be very low in people without
identified risk behaviors, suggesting that routine serologic screening
in pregnant women is not justified in this area.
DE AIDS Serodiagnosis/*UTILIZATION Blotting, Western Enzyme-Linked
Immunosorbent Assay *Family Practice Female Human *Outpatient
Clinics, Hospital Pregnancy Pregnancy Complications,
Infectious/DIAGNOSIS Risk Factors MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).