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Primary care doctors fall short on HIV testing. (Survey of 371 Physicians).
BARCELONA, SPAIN -- Primary care physicians are ducking the issue of HIV in their patients.
In a recent mail survey of 371 general internists, family practice physicians, and ob.gyns., 29% said they routinely ask their patients specific questions to gauge the risk of acquiring HIV infection, Daniel E. Montano, Ph.D., reported in a poster at the 14th International AIDS Conference.
In addition, only 2%-8% of the total survey group said that they routinely ask, about sexual behaviors that might put their patients at risk of acquiring HIV. Most of the questions focused on relationship stability and medical history, such as blood transfusions and STD history, said Dr. Montano, a research scientist at the Battelle Centers for Public Health Research and Evaluation located in Seattle.
More aggressive history taking and targeted HIV testing, however, still may not be enough.
"Anyone who is sexually active in the United States should be tested for HIV at least once," asserted Dr. Michael S. Saag, who is professor of medicine at the University of Alabama in Birmingham.
"HIV is enough of a public health emergency to warrant testing virtually everyone. A lot of primary care physicians are uncomfortable talking about HIV, but this has led to the silent spread of the epidemic," he said at the meeting.
At Dr. Saag's HIV clinic in Birmingham, the median CD4 cell count of patients who are newly diagnosed with an HIV infection is about 100 cells/mL, which is a sign of very advanced disease.
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Source: HighBeam Research, Primary care doctors fall short on HIV testing. (Survey of 371...