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Background: The 2010-2014 HIV/AIDS French program recommends using HIV rapid diagnostic tests in family practice. Our aim was to assess the acceptability and feasibility of the RDT in family practice in France., Methods: The first part of this study was to determine the opinions of family practitioners (FPs) concerning the news guidelines for screening and the possible use of rapid HIV tests in their practice. The second part was a feasibility study of the actual use of rapid HIV tests given to FPs during six months. The third part was a qualitative analysis of experience feedback to determine the impediments to using rapid HIV tests., Results: Seventy-seven percent of the 352 FPs interviewed were favorable to rapid HIV tests use. The three main impediments were: misinterpretation of test result, complexity of quality control, and lack of training: 23 of the 112 FPs having volunteered to evaluate the rapid HIV tests followed the required training session. Sixty-nine tests were handed out, and three rapid HIV tests were used; the qualitative study involved 12 FPs. The participants all agreed on the difficult use of rapid HIV tests in daily practice. The main reasons were: too few opportunities or requests for use, complex handling, difficulties in proposing the test, fear of having to announce seropositivity, significantly longer consultation., Conclusion: Although FPs are generally favorable to rapid HIV tests use in daily practice, the feasibility and contribution of rapid HIV tests are limited in family practice., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)

Résumé: Les TROD VIH ont montré leur intérêt dans la recherche de cette pathologie parmi les hommes ayant des relations sexuelles avec les hommes (HSH). Ce test est disponible gratuitement grâce au soutien de certaines associations comme AIDES. Une étude menée entre 2014 et 2015 montrait que 0,1 % des patients qui acceptaient d'effectuer le test étaient positifs, la majorité de ces résultats positifs étant retrouvés chez les HSH (plus de 90 %). De plus, les résultats montraient que la grande majorité des patients qui acceptaient de réaliser le TROD n'avaient jamais fait de test VIH dans le passé, malgré le nombre important de facteurs de risques pour contracter cette pathologie. La démarche nécessite d'être encouragée du fait que les HSH sont enclins à ne plus recourir aux préservatifs depuis l'introduction d'un nouveau traitement prophylactique qui évite la transmission du VIH. Quick tests for HIV have been shown to be useful in detecting the disease amongst men who have sex with men (MSM). This test is available free of charge with the support of specific associations like AIDES. A study done in 2014-2015 showed that 0,1% of patients who agreed to take the test were found to be positive for HIV; of which the majority of positive results were found in MSM (more than 90%). Moreover, the results showed that the majority of people who agreed to undergo this quick test had never had an HIV test done in the past, despite having numerous risk factors for contracting the disease. However, the process needs to be encouraged given MSM are prone to not using condoms since the introduction of a new prophylactic treatment that prevents the transmission of HIV [ABSTRACT FROM AUTHOR]