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Gepubliceerd in: Huisarts en wetenschap 1/2017

01-01-2017 | Beschouwing

Proactiever testen op hiv is nodig

Auteurs: Ivo Joore, Eline Op de Coul, Ben Bom, Ard van Sighem, prof. dr. Suzanne Geerlings, prof. dr. J.M. Jan Prins, prof dr. J.E.A.M. van Bergen

Gepubliceerd in: Huisarts en wetenschap | Uitgave 1/2017

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Samenvatting

Joore IK, Op de Coul ELM, Bom BCJ, Van Sighem AI, Geerlings SE, Prins JM, Van Bergen JEAM. Proactiever testen op hiv is nodig. Huisarts Wet 2017;60(1):24-6.
Elk jaar worden in Nederland ongeveer 1000 nieuwe hiv-diagnoses gesteld. Bij een groot deel van deze patiënten (44%) gebeurt dat relatief laat in het ziektebeloop. Vroegtijdige behandeling van hiv na diagnose heeft grote voordelen, voor de patiënt én voor de volksgezondheid. Vroegtijdige opsporing is dus van groot belang. Vooralsnog heeft het testen van risicogroepen onvoldoende geleid tot kentering van de hiv-epidemie in Nederland. Twee nieuwe teststrategieën, naast het testen binnen risicogroepen, zijn het aanbieden van hiv-tests aan patiënten met hiv-gerelateerde aandoeningen (‘hiv-indicatoraandoeningen’) en het routinematig proactief aanbieden van hiv-tests in gebieden waar de hiv-prevalentie hoger is dan 2 per 1000 inwoners. Het voordeel is dat de hiv-test in deze nieuwe strategieën niet langer gekoppeld is aan seksueel risicogedrag of etniciteit, wat ertoe kan bijdragen dat hij genormaliseerd wordt.
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Metagegevens
Titel
Proactiever testen op hiv is nodig
Auteurs
Ivo Joore
Eline Op de Coul
Ben Bom
Ard van Sighem
prof. dr. Suzanne Geerlings
prof. dr. J.M. Jan Prins
prof dr. J.E.A.M. van Bergen
Publicatiedatum
01-01-2017
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 1/2017
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/s12445-017-0013-z

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