NCT05225493

HIV Indicator Diseases in Hospital and Primary Care

Supporting Health Care Professionals in Hospital and Primary Care to Promote Adequate HIV Risk and Indicator Condition Driven Testing in Routine Care.

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 1,500 (estimated)
• Sponsor: Erasmus Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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

Type	Name	Description
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

Timeline

• Start date: 2020-01-01
• Primary completion: 2024-05-01
• Completion: 2024-05-01
• First posted: 2022-02-04
• Last updated: 2022-02-04

Locations

1 site across 1 country: Netherlands