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Abstract：
HIV testing for individuals presenting with indicator conditions (ICs) including AIDS-defining conditions (ADCs) is explicitly recommended by European guidelines. We aimed to review specialty guidelines in Greece and assess if HIV was discussed and testing recommended. We reviewed European guidelines to produce a list of 25 ADCs and 48 ICs. We identified Greek guidelines for 11 of 25 (44%) ADCs and 30 of 48 (63%) ICs. In total, 47 guidelines were reviewed (range: 1-6 per condition); 11 (23%) for ADCs and 36 (77%) for ICs. Association with HIV was discussed in 7 of 11 (64%) ADC and 8 of 36 IC guidelines (22%), whereas HIV testing was appropriately recommended in two of 11 ADC (18%) and 10 of 36 IC guidelines (28%). Significant differences were found for the distribution of recommendations to test in both types of condition, with ICs having higher percentage of non-recommendation (50%, p < 0.05). No association was found between source of guideline or publication year and testing recommendation. Most guidelines for ICs and ADCs do not recommend testing. Specialists managing most ICs and ADCs may be unaware of the actual prevalence of undiagnosed HIV infection among their patients or the respective recommendations produced by HIV societies.
摘要：
欧洲指南明确建议对具有包括AIDS定义条件（ADC）在内的指标条件（IC）的个人进行HIV测试。我们旨在审查希腊的专业指南，并评估是否讨论过HIV并建议进行检测。我们审查了欧洲指南，列出了25个ADC和48个IC。我们确定了25个(44%)ADC中的11个和48个(63%)IC中的30个的希腊指南。总的来说,审查了47个指南（范围：每个条件1-6个）；ADC为11个（23％），IC为36个（77％）。与艾滋病毒的关联在11个（64％）ADC指南中的7个和36个IC指南中的8个（22％）中进行了讨论，而HIV检测在11项ADC指南中的2项(18%)和36项IC指南中的10项(28%)中被适当推荐.在这两种情况下，测试建议的分布存在显着差异，IC的非推荐比例较高(50%，p<0.05)。没有发现指南来源或发表年份与测试建议之间的关联。大多数IC和ADC指南不建议进行测试。管理大多数IC和ADC的专家可能不知道其患者中未诊断的HIV感染的实际患病率或HIV协会提出的各自建议。
