医疗保健提供者对HIV-TB同时感染儿童的看法和挑战 - - 一项定性研究
Snehi Shrestha1, Mubashir Angolkar1, Ashwini Narasannavar1
1Department of Public Health, J. N. Medical College, KLE Academy of Higher Education and Research (KAHER), Belagavi, India.
在儿童中诊断和治疗共同感染的结核病 (TB) 和人类免疫缺陷病毒 (HIV) 对医疗保健提供者来说构成重大挑战. 解决这些问题需要更多的医疗保健专业人员,社区教育和可靠的艾滋病毒检测套件.
科学领域:
- 儿童传染病 儿童传染病
- 公共卫生 公共卫生
- 全球卫生健康 全球卫生健康
背景情况:
- 儿童同时感染人类免疫缺陷病毒 (HIV) 和结核病 (TB) 会增加死亡,治疗失败和复发的风险.
- 印度正专注于改善儿童艾滋病毒-结核病病例的检测和管理,并整合结核病和艾滋病毒护理.
研究的目的:
- 调查医疗保健提供者在诊断和治疗艾滋病毒-结核病共感染儿童结核病方面的观点和挑战.
主要方法:
- 对贝拉加维地区ART中心的14名医疗保健提供者进行了深入采访.
- 该研究的重点是确定与儿科艾滋病毒结核病诊断和治疗相关的看法和挑战.
主要成果:
- 关键的挑战包括难以获得唾液样本进行测试 (CBNAAT),儿童无法表达症状,以及护理人员不准确地报告症状.
- 其他障碍包括一些ART中心缺少儿科医生,实验室报告延迟,给婴儿药物治疗的困难,随访损失的高率,财务约束,长途旅行,社区意识低,贫困,文盲,耻辱和导致死亡的治疗缺陷.
结论:
- 成功诊断和治疗儿科艾滋病毒-结核病联合感染需要增加医疗保健提供者的数量,加强社区教育,并始终提供艾滋病毒快速检测套件.
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