Diagnostik und Therapie bei HIV-Infektion – was muss der Hausarzt wissen?

Abstract

According to the Robert Koch Institute, the estimated HIV prevalence in Germany is 86 100. On-third of the affected persons is over 50 years old. Overall, the prognosis of patients with HIV infection depends crucially on the time of diagnosis. The unfounded stigmatization of affected patients stands in the way of today's treatment options as it did 30 years ago. Every practice of primary care must also take into consideration the medical care of HIV-infected people. The purpose of this article is to make the general practitioner aware of this topic and to prepare for the necessary procedure in everyday practice in this rare but not unlikely situation.

Basic knowledge among GP trainees regarding HIV pre- and post-exposition-prophylaxis

“…In addition to the publications describing HIV patients in practice[ 25 26 ] and questions of antibody testing,[ 27 ] the need for further training for GPs with regard to HIV was discussed in a 2008 paper. [ 28 ] In the discussion of this work, the following is described: “in everyday practice in general practice, not only the topic of an HIV infection but also the different types of prophylaxis have not yet been sufficiently considered.”[ 27 29 30 ] This is concordant with the knowledge we have established with regard to PEP and PrEP and the wish expressed by the responding participants for correspondingly appropriate content in further education or training.…”