在希腊错过了早期艾滋病毒诊断的机会:MORFEAS研究,2019年至2021年
Sotirios Roussos1, Nikos Pantazis1, Konstantinos Protopapas2
1Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
概括
在希腊,晚期艾滋病毒诊断很常见,超过一半的患者错过了早期检测的机会. 解决这些错失的机会可以显著减少诊断延迟.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 人类免疫缺陷病毒 (HIV) 的晚期诊断仍然是希腊重要的公共卫生问题.
- 这往往表明早些时候进行艾滋病毒检测和干预的错失机会 (MO).
研究的目的:
- 为了调查HIV指标条件 (ICs) 在诊断之前的频率.
- 在希腊全国范围内量化早期艾滋病毒检测的MO.
主要方法:
- 这是一项针对823名在2019-2021年期间被诊断患有艾滋病毒的成年人的多中心回顾性研究.
- 分析医疗记录以确定医疗保健接触者 (HCC),IC和与MO相关的因素.
- 贝叶斯模型用于估计从血清转化到诊断的时间.
主要成果:
- 在249名迟到提交者中,52.3%的医疗保健联系人代表了HIV检测的MO.
- 性传播感染和发烧是最常见的ICs.
- 高等教育与MO的几率增加有关,而非希腊裔的几率较低.
结论:
- 在希腊,错过了早期艾滋病毒诊断的机会很普遍.
- 实施IC指导测试策略可以促进早期诊断和治疗.
- 解决检测障碍对于减少不良健康结果和预防艾滋病毒传播至关重要.
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