Médecine d’urgence et prévention : une antinomie ? Réflexion à partir du dépistage VIH [Emergency medicine and prevention : a contradiction in terms ? Observations based on HIV screening]

Détails

ID Serval
serval:BIB_8C8E27602B33
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Médecine d’urgence et prévention : une antinomie ? Réflexion à partir du dépistage VIH [Emergency medicine and prevention : a contradiction in terms ? Observations based on HIV screening]
Périodique
Revue medicale suisse
Auteur(s)
Hugli O., Tagliabue L., Cavassini M., Darling K.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
10/08/2016
Peer-reviewed
Oui
Volume
12
Numéro
526
Pages
1331-1335
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
In Switzerland, a fifth of people with HIV are unaware of their status and 50 % are diagnosed late (< 350 CD4 / µl). Yet, in the years prior to diagnosis, these patients have often presented to the emergency department (ED) with problems related, or not, to HIV infection, presenting missed opportunities for earlier diagnosis. The current FOPH recommendations assume that doctors can recognise HIV indicator diseases, and patients from high-risk groups, and offer an HIV test (targeted screening). Studies conducted at Lausanne University Hospital ED report that most doctors are unfamiliar with the FOPH recommendations and that HIV screening occurs in only 1 % of patients seen. This review discusses the logic of non-targeted screening in the context of the UNAIDS 2016-2021 strategy to end the AIDS epidemic by 2030.

Mots-clé
Early Diagnosis, Emergency Medicine, Emergency Service, Hospital, HIV Infections/diagnosis, HIV Infections/epidemiology, Humans, Mass Screening/methods, Physicians/statistics & numerical data, Practice Patterns, Physicians'/statistics & numerical data, Switzerland/epidemiology
Pubmed
Création de la notice
27/07/2017 14:21
Dernière modification de la notice
14/04/2018 14:34
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