在访问美国紧急服务部门时进行艾滋病毒检测:2021年更新
Carson Clay1,2, Brian Christopher Kuglen3, Christopher Lee Bennett4
1NYU Grossman School of Medicine, New York, New York, USA.
Sexually transmitted infections
|March 26, 2024
概括
在2021年,紧急部门 (ED) 的访问增加了,但每次访问的艾滋病毒检测率只出现了小而微不足道的增加. 这表明艾滋病毒查并没有跟上流行后医疗保健利用率的复苏.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病监测 传染病监测 传染病
背景情况:
- 紧急诊所 (ED) 是公共卫生干预的关键地点,包括传染病查.
- 在EDs的HIV检测率可能会随着患者数量和医疗保健准入的变化而波动.
- 了解艾滋病毒检测的趋势对于监测和控制艾滋病毒流行病至关重要.
研究的目的:
- 分析美国紧急诊所 (ED) 中艾滋病毒检测率的趋势.
- 为了比较2020年和2021年之间的EDs的HIV检测频率,与访问量变化相关联.
主要方法:
- 使用了全国医院门诊医疗调查 (NHAMCS) 数据的横截面分析.
- 检查了2020年和2021年的加权紧急部门访问数据.
- 在两年间计算和比较了包括艾滋病毒检测在内的ED访问的百分比.
主要成果:
- 2020年至2021年期间,ED访问量大幅增加,达到250万个加权访问量.
- 艾滋病毒检测的ED访问比例略有增加,从2020年的0.81%上升到2021年的0.86%.
- 这种增加的艾滋病毒检测是统计学上微不足道的,当调整整整体ED访问的增加.
结论:
- 尽管2021年急诊室使用率反弹,但每次访问的艾滋病毒检测率并没有显著增加.
- 在ED环境中,艾滋病毒查工作可能需要加强策略,以与不断增加的患者数量保持一致.
- 需要进一步的研究,以确定在紧急护理环境中常规艾滋病毒检测的障碍和促进因素.
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