title: HIV testing: getting the message across--a survey of knowledge, attitudes and practice among non-HIV specialist physicians.
abstract: BACKGROUND
  26% of people living with HIV in the UK remain undiagnosed and over 50% of adults with HIV are significantly immunocompromised at the time of diagnosis. Current guidelines recommend routine testing in all patients presenting with a range of conditions in low prevalence areas (< 2/1000).
  
  
  METHODS
  The authors conducted an online survey of the knowledge, attitudes and practice of non-HIV specialist physicians with regard to HIV testing in two areas of the UK with a lower prevalence of HIV. Key outcomes included recognition of recommended clinical indications for HIV testing and perceived barriers to performing HIV tests more routinely. All responses were collected in July 2009.
  
  
  RESULTS
  Recommended indications for HIV testing were identified by 0-43.7% of 119 respondents. 47.9% cited a low prevalence of HIV as a barrier to routine testing. 88% of 60 consultant physicians were unaware of current guidelines on testing for HIV.
  
  
  CONCLUSIONS
  The authors found a low awareness of current guidance on testing for HIV and a high level of perceived barriers to testing. Reducing the high number of late diagnoses is a clinical and public health priority. To achieve this, the authors recommend improved policy dispersal coupled with education that targets perceived barriers to testing.
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK. ewan.hunter@nuth.nhs.uk
authors.forename: Ewan
authors.initials: E
authors.lastname: Hunter
authors.forename: Meghan
authors.initials: M
authors.lastname: Perry
authors.forename: Clifford
authors.initials: C
authors.lastname: Leen
authors.forename: Nikhil
authors.initials: N
authors.lastname: Premchand
mesh_terms: D015492:AIDS Serodiagnosis; D003625:Data Collection; D057210:Delayed Diagnosis; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006305:Health Status Indicators; D006801:Humans; D009862:Online Systems; D010820:Physicians / Q000523:psychology*