在土耳其的艾滋病毒检测中错过的机会:对晚期诊断的影响
Hacer Deniz Özkaya1, Khaled Elazab2, Bülent Turan2
1Bakırçay University Çiğli Training and Research Hospital, Izmir, Turkiye.
Journal of acquired immune deficiency syndromes (1999)
|February 12, 2024
概括
土耳其的许多医疗保健访问都错过了HIV检测的机会,导致诊断迟到. 这项研究确定了临床环境中这些错失机会 (MO) 的预测因素,突出了改善测试策略的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 人类免疫缺陷病毒 (HIV) 感染的晚期诊断仍然是一个重大的全球卫生挑战.
- 在土耳其,大量艾滋病毒感染者 (41%-50%) 仍未被诊断出来,这表明许多早期检测的机会被错过了.
研究的目的:
- 调查在土耳其医疗机构内对人类免疫缺陷病毒 (HIV) 测试的错失机会.
- 确定与这些错过的测试机会 (MO) 相关的关键预测因素.
主要方法:
- 一项涉及2018年1月至2020年12月期间新诊断艾滋病毒的198名患者的研究.
- 通过面对面,电话或在线问卷收集有关前一年医疗保健访问的数据,并通过电子医疗记录审查进行补充.
主要成果:
- 在1677次总访问中,51.3%有HIV检测的迹象,但77.9%的这些实例中没有提供检测,构成错过的机会 (MO).
- 紧急部门占MO数量最高 (59.8%).
- 大学毕业生和CD4+T细胞计数低于200/mm3的患者更有可能经历MO.
结论:
- 土耳其的医疗保健机构经常错过了早期人类免疫缺陷病毒 (HIV) 诊断的机会.
- 迫切的干预措施是必要的,以应对过去十年观察到的新艾滋病毒诊断的上升趋势.
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