Tuberculosis screening in patients with HIV: An audit against UK national guidelines to assess current practice and the effectiveness of an electronic tuberculosis-screening prompt

A retrospective clinical audit was performed to assess if the British HIV Association 2011 guidelines on routine screening for tuberculosis in HIV are being implemented in a large UK urban clinic, and if a tuberculosis-screening prompt on the electronic patient record for new attendees was effective...

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Bibliographic Details
Published in:International journal of STD & AIDS 2016-09, Vol.27 (10), p.901-905
Main Authors: Fox-Lewis, A, Brima, N, Muniina, P, Grant, AD, Edwards, SG, Miller, RF, Pett, SL
Format: Article
Language:English
Subjects:
Adult
AIDS/HIV
Clinical Audit
Electronic Health Records
Female
Guideline Adherence - statistics & numerical data
HIV Infections - complications
HIV Infections - diagnosis
Humans
Lentivirus
Male
Mass Screening - methods
Mass Screening - standards
Middle Aged
Mycobacterium
Practice Guidelines as Topic
Retrospective Studies
Retroviridae
Tuberculosis - complications
Tuberculosis - diagnosis
Tuberculosis - epidemiology
United Kingdom - epidemiology
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Summary:A retrospective clinical audit was performed to assess if the British HIV Association 2011 guidelines on routine screening for tuberculosis in HIV are being implemented in a large UK urban clinic, and if a tuberculosis-screening prompt on the electronic patient record for new attendees was effective. Of 4658 patients attending during the inclusion period, 385 were newly diagnosed first-time attendees and routine tuberculosis screening was recommended in 165. Of these, only 6.1% of patients had a completed tuberculosis screening prompt, and 12.1% underwent routine tuberculosis screening. This audit represents the first published UK data on routine screening rates for tuberculosis in HIV and demonstrates low rates of tuberculosis screening despite an electronic screening prompt designed to simplify adherence to the national guideline. Reasons why tuberculosis screening rates were low, and the prompt ineffective, are unclear. A national audit is ongoing, and we await the results to see if our data reflect a lack of routine tuberculosis screening in HIV-infected patients at a national level.
ISSN:0956-4624
1758-1052
DOI:10.1177/0956462416628355