Infections

All Conditions

Symptoms and General Pathology

Neoplasms

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Skin and Connective Tissue Diseases

Blood and Lymph Conditions

Immune System Diseases

Respiratory Tract (Lung and Bronchial) Diseases

Rare Diseases

Syndrome

Communicable Diseases

Uterine Cervical Dysplasia

Body Weight

Dermatitis

Psoriasis

Thrombocytopenia

Herpes Simplex

Weight Loss

Diarrhea

Acquired Immunodeficiency Syndrome

HIV Infections

Immunologic Deficiency Syndromes

Pneumonia

Sexually Transmitted Diseases

Lymphadenopathy

Candidiasis

Herpes Zoster

Leukopenia

Sexually Transmitted Diseases, Viral

Dermatitis, Seborrheic

Infectious Mononucleosis

Virus Diseases

Disease Attributes

Skin Diseases

Skin Diseases, Papulosquamous

Blood-Borne Infections

Lentivirus Infections

Retroviridae Infections

RNA Virus Infections

Genital Diseases

Urogenital Diseases

Body Weight Changes

Signs and Symptoms, Digestive

Blood Platelet Disorders

Hematologic Diseases

Cytopenia

Slow Virus Diseases

Chickenpox

Varicella Zoster Virus Infection

Herpesviridae Infections

DNA Virus Infections

Precancerous Conditions

Uterine Cervical Diseases

Uterine Diseases

Genital Diseases, Female

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

Lymphatic Diseases

Mycoses

Bacterial Infections

Bacterial Infections and Mycoses

Leukocyte Disorders

Epstein-Barr Virus Infections

Lymphoproliferative Disorders

Immunoproliferative Disorders

Sebaceous Gland Diseases

Skin Diseases, Eczematous

Cervical Intraepithelial Neoplasia

Chronic Graft Versus Host Disease

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.

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

HIV experts contact non-HIV specialised treating physicians on individual patient care to recommend HIV testing

Peer to peer feedback

Free HIV rapid tests are provided to non-HIV specialised treating physicians to use in individual patient care in patients at risk of HIV

HIV rapid test

Casper Rokx, MD PhD

Carlijn C Jordans, PhD

Maartje M Wagemaker, RN

Casper C Rokx, PhD MD

Bart B Rijnders, PhD MD

Adam A Anas, PhD MD

Jeroen J van Kampen, PhD MD

Robert Jan Sips, PhD

Jet Gisolf, MD PhD

Annelies Verbon, Prof

Femke Mollema, MD PhD

Rachida El Moussaoudi, MD PhD

Zoltan Szlavik, PhD

David vd Vijver, PharmD PhD

Renee Finkenflugel, Msc

Anna Roukens, MD PhD

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

HIV Indicator Diseases in Hospital and Primary Care

Supporting Health Care Professionals in Hospital and Primary Care to Promote Adequate HIV Risk and Indicator Condition Driven Testing in Routine Care.

Costs of the program in relation to the savings in costs and QALY's lost as a consequence of earlier HIV diagnosis with subsequent prevented HIV transmission, AIDS comorbidity and hospital admissions.

Spots Global Cancer Trial Database for peer to peer feedback