Despistaje de la infección por el virus de inmunodeficiencia humana en Atención Primaria mediante indicadores de sospecha: estudio DIVAPIS

Abstract

Introduction: The early diagnosis of HIV infection is essential to improve the prognosis of this entity and avoid new infections. Primary healthcare is the most accesible institution for patients, and for this reason provides the opportunity to identify new cases of HIV. The objective was to enhance this diagnostic by indicator conditions that could help the physician diagnose the infection. Methods: Cross-sectional observational and descriptive study with the participation of 89 primary healthcare centers in Galician (September 2013- June 2015). Clinical, analytical and sociodemographics variables of patients included in the study, with HIV-test requested by the physician or them, were analized. Results: 19 positive test for HIV-infection between 1080 patients included in DIVAPIS study were found, with a prevalence of new diagnoses of 1.76%. Men who have sex with men, positive serology for HBV (p<0,01), positive serology for HBV and HBC (p= 0,02) and muguet (p= 0,02). Conclusions: The development of working tools in colaboration with primary healthcare to improve the suspected of HIV-infection sohwed a high rate of new diagnosis and identified indicator conditions that may us suspect the posibility of the infection.