在亚特兰大的常规选择退出测试环境中,经常错过早期艾滋病毒诊断的机会
Sarah F Gruber1, Megan Schwinne2,3, Rishika Iytha3,4
1Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Open forum infectious diseases
|August 28, 2025
概括
常规艾滋病毒检测错过了安全网系统中的机会. 大多数被诊断的患者以前没有进行过艾滋病毒检测,这表明需要改进选择退出检测,特别是在初级保健中.
科学领域:
- 公共卫生
- 传染病流行病学
- 医疗保健系统研究
背景情况:
- 常规的选择性艾滋病毒检测旨在提前诊断并减少传播.
- 本研究调查了安全网医疗保健系统中的错失机会 (MO) 和错失测试机会 (MTO).
研究的目的:
- 确定与早期艾滋病毒诊断错失机会相关的因素.
- 评估常规选择退出艾滋病毒检测计划的有效性.
主要方法:
- 在2015年至2022年期间诊断出艾滋病毒的成年人.
- 定义MO为在诊断前一年没有进行艾滋病毒检测;MTO如指示,但未进行检测.
- 使用后勤回归来确定与MO和MTO相关的因素.
主要成果:
- 70% 的新诊断患者有MO; 67% 的遭遇是MTO.
- 性健康和性病检测结果显示MO的几率较低.
- 与急诊部门相比,初级护理接触的MTO概率更高.
- 只有37.4%的符合条件的人接受艾滋病毒检测,诊断率为0.4%.
结论:
- 尽管选择退出艾滋病毒检测,但仍有大量的早期诊断机会被错过.
- 优化选择退出检测程序至关重要,特别是在初级保健机构和非性健康检查期间.
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