在第三级艾滋病毒诊所的宫癌查指南的遵守审计
Jeffrey Bolon1, Amy Samson1, Natalie Irwin2,3
1Department of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
Southern African journal of HIV medicine
|June 9, 2023
概括
在南非艾滋病毒感染妇女中,宫癌查率极低,远低于国家目标. 在这种高风险人群中遵守查指南需要紧急改进.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 宫癌是南非15至44岁女性中最常见的恶性瘤.
- 患病率在艾滋病毒感染者 (WLWH) 妇女中更高.
- 尽管有70%的查目标,南非的宫癌查率仅为19.3%.
研究的目的:
- 评估卫生保健工作者是否遵守宫癌查指南.
- 专注于一个高级别的艾滋病毒诊所.
主要方法:
- 追溯的横截面记录审计.
- 在夏洛特·马克塞克约翰内斯堡学术医院艾滋病毒诊所进行的研究.
- 在1个月内收集的数据.
主要成果:
- 在之前的3年中,只有44.7% (180/403) 的WLWH被查.
- 51.6%的未接受查的妇女被转诊进行查.
- 接受查的女性年龄较大,艾滋病毒诊断时间较长;CD4或病毒抑制没有差异.
结论:
- 该机构的宫癌查率低于世卫组织和国家建议.
- 在这种高风险人群中,遵守查指南是不够的.
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