Jordans, Carlijn C. E., Vasylyev, Marta, Rae, Caroline, Jakobsen, Marie Louise, Vassilenko, Anna, Dauby, Nicolas ORCID: 0000-0002-7697-6849, Grevsen, Anne Louise, Jakobsen, Stine Finne, Raahauge, Anne, Champenois, Karen, Papot, Emmanuelle, Malin, Jakob J. ORCID: 0000-0002-2989-0436, Boender, T. Sonia, Behrens, Georg M. N., Gruell, Henning, Neumann, Anja, Spinner, Christoph D., Valbert, Frederik ORCID: 0000-0003-0061-5841, Akinosoglou, Karolina, Kostaki, Evangelia G., Nozza, Silvia, Giacomelli, Andrea ORCID: 0000-0003-3685-4289, Lapadula, Giuseppe, Mazzitelli, Maria, Torti, Carlo, Matulionyte, Raimonda, Matulyte, Elzbieta, Van Welzen, Berend J., Hensley, Kathryn S., Thompson, Magdalena, Ankiersztejn-Bartczak, Magdalena, Skrzat-Klapaczynska, Agata ORCID: 0000-0002-6367-5633, Sandulescu, Oana ORCID: 0000-0002-2586-4070, Streinu-Cercel, Adrian ORCID: 0000-0001-6382-5067, Streinu-Cercel, Anca, Miron, Viktor Daniel, Pokrovskaya, Anastasia, Hachfeld, Anna, Dorokhina, Antonina, Sukach, Maryna, Lord, Emily, Sullivan, Ann K. and Rokx, Casper (2022). National medical specialty guidelines of HIV indicator conditions in Europe lack adequate HIV testing recommendations: a systematic guideline review. Eurosurveillance, 27 (48). S. 28 - 41. STOCKHOLM: EUR CENTRE DIS PREVENTION & CONTROL. ISSN 1560-7917

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Abstract

Background: Adequate identification and testing of people at risk for HIV is fundamental for the HIV care continuum. A key strategy to improve timely testing is HIV indicator condition (IC) guided testing. Aim: To evaluate the uptake of HIV testing recommendations in HIV IC-specific guidelines in European countries. Methods: Between 2019 and 2021, European HIV experts reviewed guideline databases to identify all national guidelines of 62 HIV ICs. The proportion of HIV IC guidelines recommending HIV testing was reported, stratified by subgroup (HIV IC, country, eastern/western Europe, achievement of 90- 90-90 goals and medical specialty). Results: Of 30 invited European countries, 15 participated. A total of 791 HIV IC guidelines were identified: median 47 (IQR: 38-68) per country. Association with HIV was reported in 69% (545/791) of the guidelines, and 46% (366/791) recommended HIV testing, while 42% (101/242) of the AIDS-defining conditions recommended HIV testing. HIV testing recommendations were observed more frequently in guidelines in eastern ( 53%) than western (42%) European countries and in countries yet to achieve the 90-90- 90 goals ( 52%) compared to those that had ( 38%). The medical specialties internal medicine, neurology/neurosurgery, ophthalmology, pulmonology and gynaecology/obstetrics had an HIV testing recommendation uptake below the 46% average. None of the 62 HIV ICs, countries or medical specialties had 100% accurate testing recommendation coverage in all their available HIV IC guidelines. Conclusion: Fewer than half the HIV IC guidelines recommended HIV testing. This signals an insufficient adoption of this recommendation in non-HIV specialty guidelines across Europe.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Jordans, Carlijn C. E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vasylyev, MartaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rae, CarolineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jakobsen, Marie LouiseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vassilenko, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dauby, NicolasUNSPECIFIEDorcid.org/0000-0002-7697-6849UNSPECIFIED
Grevsen, Anne LouiseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jakobsen, Stine FinneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Raahauge, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Champenois, KarenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Papot, EmmanuelleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Malin, Jakob J.UNSPECIFIEDorcid.org/0000-0002-2989-0436UNSPECIFIED
Boender, T. SoniaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Behrens, Georg M. N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gruell, HenningUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Neumann, AnjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Spinner, Christoph D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Valbert, FrederikUNSPECIFIEDorcid.org/0000-0003-0061-5841UNSPECIFIED
Akinosoglou, KarolinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kostaki, Evangelia G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nozza, SilviaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Giacomelli, AndreaUNSPECIFIEDorcid.org/0000-0003-3685-4289UNSPECIFIED
Lapadula, GiuseppeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mazzitelli, MariaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Torti, CarloUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Matulionyte, RaimondaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Matulyte, ElzbietaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Van Welzen, Berend J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hensley, Kathryn S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thompson, MagdalenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ankiersztejn-Bartczak, MagdalenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Skrzat-Klapaczynska, AgataUNSPECIFIEDorcid.org/0000-0002-6367-5633UNSPECIFIED
Sandulescu, OanaUNSPECIFIEDorcid.org/0000-0002-2586-4070UNSPECIFIED
Streinu-Cercel, AdrianUNSPECIFIEDorcid.org/0000-0001-6382-5067UNSPECIFIED
Streinu-Cercel, AncaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Miron, Viktor DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pokrovskaya, AnastasiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hachfeld, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dorokhina, AntoninaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sukach, MarynaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lord, EmilyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sullivan, Ann K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rokx, CasperUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698461
DOI: 10.2807/1560-7917.ES.2022.27.48.2200338
Journal or Publication Title: Eurosurveillance
Volume: 27
Number: 48
Page Range: S. 28 - 41
Date: 2022
Publisher: EUR CENTRE DIS PREVENTION & CONTROL
Place of Publication: STOCKHOLM
ISSN: 1560-7917
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ECONOMIC BURDEN; CAREMultiple languages
Infectious DiseasesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69846

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