美国预防艾滋病毒的暴露前预防:概述和更新
1Amit "Mickey" Dhir is a PhD student at the Johns Hopkins University School of Nursing in Baltimore, MD, and an infectious disease NP at Chase Brexton Health Care, also in Baltimore. Contact author: dhir_amit@yahoo.com. The author has disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|November 21, 2023
概括
新的艾滋病毒诊断仍然很高,特别是在关键人群中. 暴露前预防 (PrEP) 对于预防至关重要,但公平的接入和护理支持对于减少艾滋病毒传播至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 护理 护理 护理
背景情况:
- 2021年,美国记录了36136例新的艾滋病毒诊断,发病率自2017年以来下降了12%.
- 艾滋病毒不成比例地影响同性恋/双性恋男性,黑人/非洲裔美国人和西班牙裔/拉丁裔个人,突出了持续的健康差异.
研究的目的:
- 为预防艾滋病毒提供暴露前预防 (PrEP) 的最新概述.
- 概述目前的PrEP查建议,可用的类型,剂量和不良影响.
- 强调护士在支持接受PrEP治疗的患者中的关键作用.
主要方法:
- 审查当前关于艾滋病毒暴露前预防的指导方针和文献.
- 对美国艾滋病毒发病率数据和人口趋势的分析.
- 讨论用于PrEP启动,坚持和监测的护理干预措施.
主要成果:
- 尽管2017-2021年艾滋病毒发病率减少了12%,但新的诊断仍然存在,特别是在弱势群体中.
- 公平分配和采用PrEP仍然是一个重大挑战.
- 护士对于消除PrEP获取障碍和确保有效的患者管理至关重要.
结论:
- 需要继续努力解决艾滋病毒健康差异,并改善PrEP可访问性.
- 护士是艾滋病毒预防策略的成功不可或缺的一部分,包括PrEP实施.
- 通过加强患者支持和监测,优化PrEP使用是减少新艾滋病毒感染的关键.
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