{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T09:11:26Z","timestamp":1726477886947},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/>In half of newly detected cases of HIV infection in Europe, the diagnosis is made late. This has significant impact\u00a0on the effects of antiretroviral therapy, long-term consequences of the disease, mortality, and the risk of HIV\u00a0transmission in the environment. As part of the large \u201cSTOP Late Presenters\u201d project, the number of HIV tests was\u00a0assessed in four multi-specialist hospitals in the Mazowieckie voivodeship, which generally carry out over 112,000\u00a0hospitalizations per year. First, under the structured research program, the training of medical personnel was carried\u00a0out in these hospitals, and then the number of HIV tests ordered was evaluated 2 months and 4 months after the\u00a0training. 459 HIV tests were performed after the training in all hospitals, which is 2.44% of hospitalizations. It\u00a0is interesting to note that after 4 months, the number of performed tests fell significantly. Staff training resulted\u00a0in the number of tests higher by 5.8 %, compared to the same period of previous year. Four positive results were\u00a0confirmed, which is 0.87% of all tests done. This is almost twice higher than in other European countries. Tests\u00a0for HIV infection are most often ordered by doctors of infectious diseases, gynecologists and the staff of dialysis\u00a0departments. We found that there is little interest in HIV testing among other specialists, despite reporting patients\u00a0with clinical symptoms that suggest the likelihood of this infection. The improvement in HIV testing is of great\u00a0importance for public health in our country and requires modification of diagnostic algorithms in hospital wards to\u00a0reduce the number of late diagnoses of HIV \/ AIDS.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/>P\u00f3\u017ane rozpoznania infekcji HIV dotycz\u0105 w Europie po\u0142owy nowo wykrywanych zaka\u017ce\u0144. Ma to istotny\u00a0wp\u0142yw na efekty leczenia antyretrowirusowego, odleg\u0142e konsekwencje choroby, \u015bmiertelno\u015b\u0107 oraz trwaj\u0105ce\u00a0przez wiele lat ryzyko transmisji wirusa HIV w otoczeniu. W ramach og\u00f3lnopolskiego projektu \u201eSTOP Late\u00a0Presenters\u201d oceniono liczb\u0119 wykonywanych test\u00f3w w kierunku HIV w czterech wielospecjalistycznych\u00a0szpitalach w wojew\u00f3dztwie mazowieckim, kt\u00f3re \u0142\u0105cznie realizuj\u0105 ponad 112 000 hospitalizacji rocznie. W\u00a0ramach ustrukturyzowanego programu badawczego przeprowadzono najpierw szkolenie personelu medycznego\u00a0w tych szpitalach, a nast\u0119pnie sprawdzono liczb\u0119 zleconych test\u00f3w HIV w 2 miesi\u0105ce i 4 miesi\u0105ce po szkoleniu.\u00a0We wszystkich szpitalach wykonano odpowiednio 459 i 410 test\u00f3w na obecno\u015b\u0107 wirusa HIV po szkoleniu, co\u00a0stanowi \u015brednio 2,44% w stosunku do liczby hospitalizacji. Zainteresowanie wykonywaniem badania istotnie\u00a0zmala\u0142o po 4 miesi\u0105cach. Szkolenie personelu spowodowa\u0142o wzrost liczby wykonanych test\u00f3w o 5,8% w\u00a0stosunku do takiego samego okresu w roku poprzednim. Potwierdzono 4 wyniki dodatnie, co stanowi 0,87%\u00a0wszystkich wykonanych test\u00f3w i jest prawie dwukrotnie wy\u017cszym odsetkiem w por\u00f3wnaniu z innymi krajami\u00a0Europy, kt\u00f3re wykonywa\u0142y podobny screening infekcji HIV. Badania w kierunku HIV najcz\u0119\u015bciej zlecaj\u0105 lekarze\u00a0o specjalno\u015bciach: choroby zaka\u017ane, specjali\u015bci ginekologii oraz pracownicy oddzia\u0142u dializ. Zwraca uwag\u0119\u00a0niewielkie zainteresowanie testowaniem HIV w\u015br\u00f3d pozosta\u0142ych specjalist\u00f3w, pomimo zg\u0142aszania si\u0119 pacjent\u00f3w\u00a0z objawami klinicznymi, kt\u00f3re sugeruj\u0105 prawdopodobie\u0144stwo tej infekcji. Poprawa w zakresie testowania HIV\u00a0ma du\u017ce znaczenie dla zdrowia publicznego w naszym kraju i wymaga modyfikacji algorytm\u00f3w diagnostycznych\u00a0w oddzia\u0142ach szpitalnych, w celu zmniejszenia liczby p\u00f3\u017anych rozpozna\u0144 HIV\/AIDS.<\/p><\/jats:p>","DOI":"10.32394\/pe.74.10","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T12:37:20Z","timestamp":1591965440000},"page":"133-146","source":"Crossref","is-referenced-by-count":1,"title":["Impact of a structured medical staff education program on the effect of HIV testing in four multi-specialist hospitals of the mazowieckie voivodeship as a part of the \u201eStop late presenters\u201d \u2013 project"],"prefix":"10.32394","volume":"74","author":[{"given":"G","family":"Cholewi\u0144ska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Siewaszewicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Robak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Dawid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Smykiewicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Skowron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2020,5,27]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Wp\u0142yw ustrukturyzowanego programu e"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180926-101489","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-180926-101489","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:45:48Z","timestamp":1709887548000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Impact-of-a-structured-medical-staff-education-program-on-the-effect-of-HIV-testing,180926,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,27]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020]]}},"alternative-id":["180926"],"URL":"https:\/\/doi.org\/10.32394\/pe.74.10","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,27]]}}}