艾滋病毒查指南 - 被忽视还是被遗忘?
Hannah Vidis Humphries1, Phoebe Hartop1
1University of Birmingham.
概括
高艾滋病毒风险地区的初级保健中心不遵守向新患者提供艾滋病毒检测的指导方针. 工作人员在很大程度上不知道指导,导致在本次审计中提供零测试.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 一般的做法一般的做法
背景情况:
- 尼斯指南建议在高风险地区对15-59岁的新患者进行艾滋病毒检测.
- 检测有助于早期的抗逆转录病毒治疗,改善患者的治疗结果,减少传播.
- 规范化艾滋病毒检测可以减少耻辱,增加吸收.
研究的目的:
- 在高风险地区的初级保健机构中审计遵守艾滋病毒检测指南.
- 识别指导方针实施的障碍.
- 为改善艾滋病毒检测率提出建议.
主要方法:
- 对310个新患者记录的回顾性审计 (2021年10月至2022年10月).
- 调查分发给初级保健工作人员,以确定不遵守的原因.
- 分析患者记录和工作人员调查答案.
主要成果:
- 在310名经过审计的患者中,没有人提供HIV检测.
- 75%的员工不知道艾滋病毒检测指南.
- 66.7%的员工从未订购过艾滋病毒检测,83%的人觉得没有支持.
结论:
- 缺乏对艾滋病毒检测指南和局部风险的认识是一个重要的障碍.
- 在这种初级保健环境中,目前对艾滋病毒检测建议的遵守率非常低.
- 建议在类似的环境中进行进一步的审计,以评估这些发现的概括性.
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