EKU Podcast: HIV in primary care
Shownotes
In 2024 there were 3,043 new HIV diagnoses in the UK, this is a 4% decrease from 3,169 diagnoses in 2023; while in England, new HIV diagnoses decreased by 2% from 2,838 in 2023 to 2,773 in 2024.
In this podcast Dr Thomas Round talks to Dr Shrey Mathur, an academic GP in East London and researcher at Queen Mary University of London with an interest in HIV early diagnosis, about HIV and the role of primary care. They reflect on what HIV is, its historical context and the changes in diagnosis, treatment and management and the need to move away from potential bias within specific populations/at risk groups for testing and ways to reduce the stigma.
They discuss when to test in primary care including thresholds and managing positive results, transfer of care to specialist services and communication between the two, coding patient records accordingly around medications, the use of Post exposure prophylaxis (PEP) and Pre-Exposure Prophylaxis (PrEP) and long-acting injectables. They also offer top tips for everyday practice and signpost to useful resources.
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References:
- People First Charter
- HIV Lens
- Liverpool HIV Drug Interactions Tool
- British HIV Association (BHIVA)
- NICE Clinical Knowledge Summary: HIV infection and AIDS
- NICE Clinical Knowledge Summary: HIV infection - treatment.
Resources:
- RCGP eLearning course on Contraception
- RCGP eLearning course on Sexual health
- RCGP eLearning course on Sexual and reproductive needs of the LGBTQ+ community.