HIV Indicator Diseases in Hospital and Primary Care (#AwareHIV)

Erasmus University

Status: Unknown

Conditions: Weight Loss; Candida Infection; Psoriasis; Dermatitis, Seborrheic; Thrombocytopenia; Diarrhea Chronic; HIV Indicator Condition; Herpes Zoster; HIV Infections; Acquired Immunodeficiency Syndrome; Uterine Cervical Dysplasia; Lymphadenopathy; Infectious Mononucleosis; Leukopenia; Sexually Transmitted Diseases, Viral; Pneumonia; Primary Health Care; AIDS Defining Illness

Treatments: Diagnostic Test: HIV rapid test; Behavioral: Peer to peer feedback

Study type: Observational

Funder types: Other

Identifiers

NCT05225493

MEC-2021-0277

Details and patient eligibility

About

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

Enrollment: 1,500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of an HIV indicator conditions.

Exclusion criteria

• Below 18 years of age
• Recent HIV test (< 12 months, except for mononucleosis-like disease and STDs)

Trial design

1,500 participants in 2 patient groups

Hospital

Description:

Medical specialists in hospitals and their patients aged 18 years and older in the participating hospitals who are diagnosed there with an HIV indicator condition.

Treatment:

Behavioral: Peer to peer feedback

Primary care

Description:

General practitioners and their patients aged 18 years and older in the participating general practices who are diagnosed there with an HIV indicator condition.

Treatment:

Behavioral: Peer to peer feedback

Diagnostic Test: HIV rapid test