Shall all Adults be Screened for HIV?german translation / full article
Recently the United States Preventive Services Task Force changed their HIV-screening recommendation from selective screening of subjects at risk to a general screening of the adult (age 15–65 years) population. Should family practitioners in Germany encourage all adult patients to have an HIV-test?
The USPSTF clearly sees a positive risk/benefit ratio for early detection of an HIV-infection which reduces HIV-transmission by HIV-positive subjects unaware of their infection, even though the benefit for the HIV-positive individual remains less clear. Theoretically it would be equally desirable for Germany and Austria to intensify screening to avoid HIV-transmission. Taking the lower prevalence of HIV in Germany and Austria into account it appears justified to restrict screening to population groups at risk. FPs should however pay increased attention to these risk groups thus helping to reduce further spread of HIV.