Internal medicine and emergency medicine physicians lack accurate knowledge of current CDC HIV testing recommendations and infrequently offer HIV testing.
Mayar Al Mohajer, Michael Lyons, Eileen King, Jesse Pratt, Carl J Fichtenbaum
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引用次数: 29
Abstract
Objectives: To evaluate the knowledge and attitudes of residents and attendings in emergency medicine (EM) and internal medicine (IM) about HIV.
Methods: An electronic anonymous 41-question survey of IM and EM physicians at the University of Cincinnati Academic Health Center.
Results: The survey was completed by 232 physicians (71.6%). EM residents were more likely to routinely offer HIV testing compared to IM residents (60.7% vs. 27.8%, P = 0.0009). Overall, there was no difference in offering HIV testing by sex (32% vs. 35.6%) or by residents versus attendings (33.8% vs. 33.3%). Only 70 physicians (30.9%) were aware of current CDC recommendations of HIV screening with attendings more knowledgeable than residents (41.7% vs. 26%, P = 0.017).
Conclusion: EM and IM residents and attendings fail to offer HIV testing or assess for HIV transmission risk factors with sufficient frequency. There is also a gap in knowledge of the current CDC recommendations.
目的:了解急诊医学(EM)和内科医学(IM)住院医师和主治医师对HIV的知识和态度。方法:对辛辛那提大学学术健康中心的内科医生和急诊医生进行41个问题的电子匿名调查。结果:共232名医师完成调查，占71.6%。与IM居民相比，EM居民更有可能常规提供HIV检测(60.7% vs. 27.8%， P = 0.0009)。总体而言，按性别提供艾滋病毒检测(32%对35.6%)或按居民对主治医生(33.8%对33.3%)提供艾滋病毒检测没有差异。只有70名医生(30.9%)了解目前CDC建议的HIV筛查，主治医生比住院医生了解更多(41.7% vs. 26%， P = 0.017)。结论:EM和IM住院医师和护理人员没有提供足够频率的HIV检测或评估HIV传播危险因素。目前对疾病预防控制中心建议的了解也存在差距。
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