Michael Rayment1, Hilary Curtis2, Chris Carne3, Hugo McClean4, Gill Bell5, Claudia Estcourt6, Jonathon Roberts7, Ed Wilkins8, Steven Estreich9, Georgina Morris10, Jara Phattey11, Ann K Sullivan1. 1. Directorate of HIV/GU Medicine, Chelsea and Westminster NHS Foundation Trust, London, UK. 2. Audit and Standards Sub-committee, British HIV Association, London, UK. 3. Genitourinary Medicine, Cambridge Community Services, Cambridge, UK. 4. City Health Care Partnership, Hull, Kingston Upon Hull, UK. 5. Department of GU Medicine, Royal Hallamshire Hospital, Sheffield, UK. 6. Reader in Sexual Health and HIV, Barts and the London School of Medicine and Dentistry, Centre for Immunology and Infectious Disease, London, UK. 7. Brighton and Sussex University Hospital NHS Trust, Brighton, East Sussex, UK. 8. Department of Infectious Diseases, North Manchester General Hospital, Manchester, UK. 9. Epsom and St Helier University Hospitals NHS Trust, Surrey, UK. 10. Department of Genitourinary Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK. 11. Genitourinary Medicine, Whittall Street Clinic, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Abstract
OBJECTIVES: Partner notification (PN) is a key public health intervention in the control of STIs. Data regarding its clinical effectiveness in the context of HIV are lacking. We sought to audit HIV PN outcomes across the UK. METHODS: All UK sexual health and HIV services were invited to participate. Clinical audit consisted of retrospective case-note review for up to 40 individuals diagnosed with HIV per site during 2011 (index cases) and a review of PN outcomes for up to five contacts elicited by PN per index case. RESULTS: 169/221 (76%) clinical services participated (93% sexual health/HIV services, 7% infectious diseases/HIV units). Most (97%) delivered PN for HIV. Data were received regarding 2964 index cases (67% male; 50% heterosexual, 52% white). PN was attempted for 88% of index cases, and outcomes for 3211 contacts were audited (from an estimated total of 6400): 519 (16%) were found not to be at risk of undiagnosed HIV infection, 1399 (44%) were informed of their risk and had an HIV test, 310 (10%) were informed of the risk but not known to have tested and 983 (30%) were not informed of their risk of HIV infection. Of 1399 contacts tested through PN, 293 (21%) were newly diagnosed with HIV infection. Regular partners were most likely to test positive (p<0.001). CONCLUSIONS: HIV PN is a highly effective diagnostic strategy. Non-completion of PN thus represents a missed opportunity to diagnose HIV in at-risk populations. Vigorous efforts should be made to pursue PN to identify people living with, and at risk of, HIV infection. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
OBJECTIVES: Partner notification (PN) is a key public health intervention in the control of STIs. Data regarding its clinical effectiveness in the context of HIV are lacking. We sought to audit HIV PN outcomes across the UK. METHODS: All UK sexual health and HIV services were invited to participate. Clinical audit consisted of retrospective case-note review for up to 40 individuals diagnosed with HIV per site during 2011 (index cases) and a review of PN outcomes for up to five contacts elicited by PN per index case. RESULTS: 169/221 (76%) clinical services participated (93% sexual health/HIV services, 7% infectious diseases/HIV units). Most (97%) delivered PN for HIV. Data were received regarding 2964 index cases (67% male; 50% heterosexual, 52% white). PN was attempted for 88% of index cases, and outcomes for 3211 contacts were audited (from an estimated total of 6400): 519 (16%) were found not to be at risk of undiagnosed HIV infection, 1399 (44%) were informed of their risk and had an HIV test, 310 (10%) were informed of the risk but not known to have tested and 983 (30%) were not informed of their risk of HIV infection. Of 1399 contacts tested through PN, 293 (21%) were newly diagnosed with HIV infection. Regular partners were most likely to test positive (p<0.001). CONCLUSIONS:HIV PN is a highly effective diagnostic strategy. Non-completion of PN thus represents a missed opportunity to diagnose HIV in at-risk populations. Vigorous efforts should be made to pursue PN to identify people living with, and at risk of, HIV infection. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Entities:
Keywords:
AUDIT; HIV; HIV TESTING; PARTNER NOTIFICATION; SERVICE DELIVERY
Authors: Shirley J Semple; Heather A Pines; Steffanie A Strathdee; Alicia Harvey Vera; Gudelia Rangel; Carlos Magis-Rodriguez; Thomas L Patterson Journal: AIDS Behav Date: 2018-07
Authors: Van Thi Thuy Nguyen; Huong Tt Phan; Masaya Kato; Quang-Thong Nguyen; Kim A Le Ai; Son H Vo; Duong C Thanh; Rachel C Baggaley; Cheryl C Johnson Journal: J Int AIDS Soc Date: 2019-07 Impact factor: 5.396