title: Utilization of HIV point-of-care testing clinics in general practice and genitourinary medicine services in south-east London.
abstract: We compared the utilization of HIV point-of-care testing (POCT) clinics in a general practice and a genitourinary (GU) medicine service. Retrospective case-note review of patients attending the general practice HIV POCT clinic from February 2005 to July 2007 was undertaken. Those attending the GU medicine service over the same period were used as a comparator group. HIV POCT clinics in general practice when compared with GU medicine services were significantly more likely to be utilized by those of Black ethnicity (Black African 61/370 [16.5%] vs. 107/1231 [8.7%], P < 0.001; Black Caribbean 19/370 [5.1%] vs. 11/1231 [0.9%], P < 0.001 and Black Other 20/370 [5.4%] vs. 26/1231 [2.1%], P = 0.001, respectively). Fewer men who have sex with men attended for HIV POCT in general practice than in GU medicine; 82/238 (34.5%) vs. 337/816 (41.3%), P = 0.058. We have demonstrated that HIV POCT clinics in primary care and GU medicine attract different 'at-risk' groups and provide increased opportunity for testing.
authors.affiliation: Department of Genitourinary Medicine, Guy's and St Thomas' NHS Foundation Trust, Guy's, Kings and St Thomas, School of Medicine, Lambeth Palace Road, London SE1 9RT, UK.
authors.forename: S
authors.initials: S
authors.lastname: Surah
authors.forename: S
authors.initials: S
authors.lastname: O'Shea
authors.forename: H
authors.initials: H
authors.lastname: Dunn
authors.forename: R
authors.initials: R
authors.lastname: Mitra
authors.forename: C
authors.initials: C
authors.lastname: Fitzgerald
authors.forename: F
authors.initials: F
authors.lastname: Ibrahim
authors.forename: G
authors.initials: G
authors.lastname: Sethi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D052776:Female Urogenital Diseases / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D008131:London; D008297:Male; D052801:Male Urogenital Diseases / Q000453:epidemiology; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D019095:Point-of-Care Systems / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012725:Sexual Behavior