Portal de investigación
Low-effort HIV training in Spanish primary care: Long-term impact on testing and diagnosis.
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- García-Ruiz de Morales AG
- Vivancos MJ
- Romero-Hernández B
- Rial-Crestelo D
- Arnaiz de Las Revillas F
- Sanchez-Villegas J
- López Sánchez MV
- Alemán Valls MR
- Moreno S
- Martínez-Sanz J
- Pérez-Elías MJ
- CoRIS
Grupos
Abstract
BACKGROUND: Recent improvements in the HIV care cascade have reduced HIV incidence in high- and middle-income countries, yet late HIV diagnosis remains a critical issue. This study examines the impact of a two-hour training session on HIV testing and diagnosis rates in primary care centers in Madrid, Spain. METHODS: In 2017, we conducted a non-mandatory, two-hour training session on updated HIV and HCV guidelines for primary care providers in 20 centers within the Ramón y Cajal Hospital area. We compared yearly HIV testing rates and late diagnosis rates in the five years before and after the intervention. We used data from Ramón y Cajal Hospital Microbiology Department's electronic records and the CoRIS cohort, including demographic and clinical information. RESULTS: Of the 630 target primary care providers, 454 (72%) attended the sessions. HIV testing rates increased from 1780 to 2155 tests per 100,000 inhabitants (p<0.0001) post-intervention, with a stable rate of positive tests. Late diagnosis rates in our area decreased from 58.9% to 48.7%, while rates in the rest of Madrid and Spain increased (AOR 1.22, p<0.001). The intervention area showed a significant reduction in advanced HIV disease (AOR 0.66, p=0.095), contrasting with the upward trend in other regions. CONCLUSION: A simple two-hour training session for primary care providers effectively increased HIV testing rates and reduced late diagnoses in our health area compared to national trends. Implementing similar strategies on a broader scale could help mitigate the rising rates of late HIV diagnosis and improve overall community health outcomes.
Copyright © 2025 Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Published by Elsevier España, S.L.U. All rights reserved.
Datos de la publicación
- ISSN/ISSNe:
- 2529-993X, 2529-993X
- Tipo:
- Article
- Páginas:
- 645-651
- PubMed:
- 41338820
Enfermedades Infecciosas Y Microbiologia Clinica (english Ed.)
Documentos
- No hay documentos
Filiaciones
Keywords
- Atención primaria; Diagnóstico tardío; España; HIV; HIV testing; Late diagnosis; Primary care; Sesión formativa; Training session; VIH
Cita
García AG,Vivancos MJ,Romero B,Rial D,Arnaiz de Las Revillas F,Sanchez J,MONTERO M,López MV,Alemán MR,Moreno S,Martínez J,Pérez MJ,C. Low-effort HIV training in Spanish primary care: Long-term impact on testing and diagnosis. Enferm Infecc Microbiol Clin (Engl Ed). 2025. 43. (10):p. 645-651.