在重叠的艾滋病毒和结核病流行病中,艾滋病毒护理的机遇和挑战
Diane V Havlir1, Haileyesus Getahun, Ian Sanne
1Department of Medicine, University of California, San Francisco, USA. dhavlir@php.ucsf.edu
JAMA
|July 24, 2008
概括
将结核病 (TB) 控制整合到人类免疫缺陷病毒 (HIV) 计划中,对于拯救生命和保障HIV治疗投资至关重要. 建议采取战略行动,打击艾滋病毒患者的结核病流行,特别是在资源有限的环境中.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 艾滋病毒/艾滋病研究研究
背景情况:
- 结核病 (TB) 和多抗药性结核病对艾滋病毒治疗计划构成重大挑战,特别是在资源有限的环境中.
- 结核病是艾滋病毒感染者死亡的主要原因,即使在成功的抗逆转录病毒治疗 (ART) 后也会持续存在.
- 目前在减少艾滋病毒阳性个体中的结核病负担方面取得的进展不足以实现全球目标.
研究的目的:
- 提出一个框架,将结核病控制措施纳入艾滋病毒护理计划.
- 概述在艾滋病毒服务中优化结核病管理的战略行动.
- 解决迫切需要减少与结核病相关的死亡率,并保护艾滋病毒治疗投资.
主要方法:
- 为结核病融入艾滋病毒护理制定战略框架.
- 确定核心活动,包括加强结核病例的发现和治疗.
- 重点是对异化的预防性治疗,感染控制和ART的管理.
- 促进艾滋病毒和结核病计划之间的联合国家和地方努力.
主要成果:
- 拟议的框架为艾滋病毒计划中的结核病控制提供了一个结构化的方法.
- 关键组成部分包括增强的病例发现,治疗坚持和预防策略.
- 整合旨在改善患者的治疗结果,并减少结核病的整体负担.
结论:
- 艾滋病毒护理计划必须大力解决结核病,以挽救生命并保护治疗投资.
- 优化结核病服务与艾滋病毒护理的整合对于打击共同流行病至关重要.
- 在医疗保健的各个层面都需要一个协调的,多方面的方法.
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