Identificando objetivos fast-track: oportunidades perdidas en el diagnóstico de VIH en la Comunidad de Madrid / Targeting fast-track goals: Missed opportunities for HIV testing in the Community of Madrid

IntroducciónLa oferta dirigida de la prueba de VIH está recomendada en personas con prácticas de riesgo y en enfermedades indicadoras de VIH. Las oportunidades diagnósticas perdidas (OP) son aquellas donde no se cumplen estas recomendaciones.ObjetivoConocer el porcentaje de OP según práctica de riesgo (OP dirigidas) y condiciones indicadoras (OP indicadas) en la Comunidad de Madrid.MétodosSe seleccionaron 109 personas con nuevo diagnóstico de VIH en 7 centros sanitarios (abril 2018-marzo 2019) mediante encuestas telefónicas. Se definió oportunidad diagnóstica como cualquier contacto con el sistema sanitario en el que debería haberse realizado la prueba de VIH. Se calculó la ocurrencia de OP en los 2 años anteriores al diagnóstico de VIH.ResultadosDe 32 oportunidades diagnósticas dirigidas e indicadas, un 96,9 y un 57,8%, respectivamente, derivaron en OP. Globalmente, el 83,8% de las oportunidades diagnósticas resultaron en OP.ConclusiónLas OP son una importante área de mejora en el diagnóstico precoz de VIH.

IntroductionIn Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed.ObjectiveTo characterize MO due to risk behaviors (directed) and due to indicator conditions (indicated) among people diagnosed with HIV in the Region of Madrid.MethodsA total of 109 participants newly diagnosed with HIV were recruited from 7 health centers (April 2018-March 2019) by a telephone survey. Diagnostic opportunities were defined as any contact with the healthcare system in which an HIV test should have been carried out. Frequency of MO was calculated within the previous 2 years from HIV diagnosis.ResultsOf the 32 directed and indicated diagnostic opportunities, 96.9 and 57.8% respectively resulted in MO. Overall, 83.8% of diagnostic opportunities resulted in MO.ConclusionMO, both directed and indicated, are an important area for improvement to reduce late diagnosis.

Targeting fast-track goals: Missed opportunities for HIV testing in the Community of Madrid.

INTRODUCTION: In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions (IC) related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed. OBJECTIVE: To characterize MO due to risk behaviors (directed) and due to IC (indicated) among people diagnosed with HIV in the Region of Madrid. METHODS: A total of 109 participants newly diagnosed with HIV were recruited from 7 health centers (April 2018-March 2019) by a telephone survey. Diagnostic opportunities were defined as any contact with the healthcare system in which an HIV test should have been carried out. Frequency of MO was calculated within the previous 2 years from HIV diagnosis. RESULTS: Of the 32 directed and indicated diagnostic opportunities, 96.9% and 57.8% respectively resulted in MO. Overall, 83.8% of diagnostic opportunities resulted in MO. CONCLUSION: MO, both directed and indicated, are an important area for improvement to reduce late diagnosis.

Targeting fast-track goals: Missed opportunities for HIV testing in the Community of Madrid. / Identificando objetivos fast-track: oportunidades perdidas en el diagnóstico de VIH en la Comunidad de Madrid.

INTRODUCTION: In Spain HIV testing is recommended to people with risk behaviors for HIV and with indicator conditions related to HIV infection. Missed diagnostic opportunities (MO) are defining as situations where these recommendations are not followed. OBJECTIVE: To characterize MO due to risk behaviors (directed) and due to indicator conditions (indicated) among people diagnosed with HIV in the Region of Madrid. METHODS: A total of 109 participants newly diagnosed with HIV were recruited from 7 health centers (April 2018-March 2019) by a telephone survey. Diagnostic opportunities were defined as any contact with the healthcare system in which an HIV test should have been carried out. Frequency of MO was calculated within the previous 2 years from HIV diagnosis. RESULTS: Of the 32 directed and indicated diagnostic opportunities, 96.9 and 57.8% respectively resulted in MO. Overall, 83.8% of diagnostic opportunities resulted in MO. CONCLUSION: MO, both directed and indicated, are an important area for improvement to reduce late diagnosis.