创建和实施威斯康星州第一个基于紧急部门的普遍选择退出HIV检测计划
Andrew Petroll1,2,3, Joanna Woodbury1, Matthew Chin4
1Department of Medicine, Division of Infectious Disease, Medical College of Wisconsin, Milwaukee, Wisconsin.
概括
紧急部门实施了普遍的艾滋病毒查,确定了23例新病例,并将96%的被诊断患者与护理联系起来. 该倡议展示了有效的艾滋病毒病例发现和与公共卫生环境中的治疗联系.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 临床医学 临床医学
背景情况:
- 疾病控制和预防中心 (CDC) 建议对13-64岁的个人进行常规艾滋病毒查.
- 通过主动查改善患者健康结果是公共卫生的一个关键目标.
研究的目的:
- 在急诊室实施和评估一项普遍的艾滋病毒查计划.
- 评估选择退出查方法对艾滋病毒检测和与护理联系的有效性.
主要方法:
- 在威斯康星州东南部的7个急诊室推出了普遍的选择性艾滋病毒查.
- 该计划包括强大的系统,将新诊断的个人与必要的艾滋病毒医疗护理联系起来.
主要成果:
- 在第一年,有57,965名患者接受了查,其中24,417名 (42.4%) 没有选择退出测试.
- 总共进行了12406次艾滋病毒检测,确定了23例新的艾滋病毒病例.
- 在被诊断的患者中,96%的人成功地与艾滋病毒医疗保健联系起来.
结论:
- 紧急部门的选择退出艾滋病毒查计划成功发现了新的艾滋病毒病例.
- 该计划实现了与新确诊的艾滋病毒患者的护理联系的高率,强调了其对公共卫生的影响.
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