马德里社区的暴露前预防计划:两年的经验
Nuria Fernández Piñeiro1, Oskar Ayerdi Aguirrebengoa2, Eva Orviz García2
1Servicio de Farmacia, Centro Sanitario Sandoval, Hospital Clínico San Carlos, IdISSC, Madrid, Spain.
概括
预防艾滋病毒的暴露前预防 (PrEP) 是有效的,但未得到充分利用. 这项研究描述了PrEP使用者的特点,发现性传播感染和化学性行为的高率,表明需要综合护理.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 临床药房 临床药房
背景情况:
- 暴露前预防 (PrEP) 是预防人类免疫缺陷病毒 (HIV) 的关键策略.
- 尽管它是有效和安全的,但PrEP的吸收并没有达到所有风险人群.
- 了解用户特征对于优化PrEP实施至关重要.
研究的目的:
- 描述PrEP使用者的社会人口统计学,临床和行为基线特征.
- 确定PrEP使用者同时使用药物和药物消费的模式.
主要方法:
- 采用了观察性,回顾性和描述性研究设计.
- 在两年内,从马德里社区的PrEP计划中注册的用户收集了数据.
- 分析了社会人口统计,临床和行为数据.
主要成果:
- 该研究包括2,256名PrEP使用者,主要是男性 (99.0%),平均年龄为36.9岁.
- 显著的比例 (33.1%) 在基线有性传播感染 (STIs),包括淋巴结核病和直肠淋病.
- 观察到与性相关的药物使用率高 (70.4%),参与chemsex (42.4%) 和同时使用药物 (37.6%).
结论:
- 准备计划需要一个多学科的方法来解决复杂的用户需求.
- 整合心理健康评估和成治疗对于全面的临床护理至关重要.
- 优化PrEP的交付需要理解和解决相关的健康行为和共同发生的条件.
相关概念视频
Retrovirus Life Cycles
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
Transmission-based Precautions II: Airborne and Protective Environment
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Pharmacokinetic–Pharmacodynamic Relationship: Exposure, Response and Effect
The pharmacokinetic-pharmacodynamic (PK-PD) relationship describes the intricate link between drug exposure, efficacy, and toxicity, forming the foundation for optimal dosing regimens. This relationship uses mathematical modeling to characterize drug concentration-effect dynamics, ensuring precise therapeutic outcomes.Exposure represents the pharmacokinetic aspect of the PK-PD relationship, denoting the drug amount that elicits a biological response. It is typically quantified by administered...


