在莱索托的GeneXpert平台上错过了艾滋病毒和结核病综合测试的机会
Gamuchirai P Gwaza1,2, Monkoe Leqheka3, Tsietso Mots'oane3
1Department of Impact, Foundation for Innovative New Diagnostics (FIND), Geneva, Switzerland.
African journal of laboratory medicine
|September 20, 2023
概括
在GeneXpert上进行结合的结核病和艾滋病毒检测仍然不理想. 低利用率表明,这些关键诊断测试的结合错失了机会,影响了患者的护理.
科学领域:
- 公共卫生 公共卫生
- 传染病诊断 传染病诊断 传染病诊断
- 加强卫生系统 加强卫生系统
背景情况:
- 综合检测,治疗和护理对于控制结核病和艾滋病毒至关重要.
- 基因Xpert平台提供了同时进行结核病和艾滋病毒检测的能力.
- 目前使用GeneXpert进行综合测试的情况不足于最佳水平.
研究的目的:
- 在GeneXpert平台上评估结核病检测和艾滋病早期婴儿检测 (EID) 的整合.
- 评估在莱索托选定的卫生机构改善整合的潜力.
主要方法:
- 一种混合方法的方法,结合了实验室记录 (2017-2019年) 的回顾性分析和半结构面试.
- 数据来自莱索托的13个医疗机构.
- 采访了44名医疗保健工作人员.
主要成果:
- 没有任何设施使用GeneXpert同时进行结核病和艾滋病毒检测.
- 结核病检测的平均GeneXpert利用率为63% (2017) 和61% (2019).
- 艾滋病毒EID测试的平均利用率为24% (2017) 和27% (2019).
结论:
- 低的GeneXpert利用率为结核病和艾滋病毒综合检测提供了一个错失的机会.
- 现有的专门用于结核病的GeneXpert仪器可以容纳所有结核病和HIV EID测试.
- 突出了实施综合测试的实际和技术考虑.
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