Can Devices for Adult Male Circumcision Help Bridge the Implementation Gap for HIV Prevention Services?
Can Devices for Adult Male Circumcision Help Bridge the Implementation Gap for HIV Prevention Services?
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DOI：
10.1097/qai.0b013e318237af5d
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发表时间：
2011-12-15
影响因子：
3.6
通讯作者：
McIntyre, James A.
中科院分区：
文献类型：
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作者：
McIntyre, James A.
医疗男性包皮环切术可以在20年内预防非洲500多万男性新增艾滋病毒感染，应该成为任何综合预防公共卫生战略的核心部分。一些非洲国家在包皮环切扩大规划中采用了外科手术方法和为大批量服务而设计的系统，但由于需要熟练掌握手术技术的高水平卫生工作者和适当的设施，手术方法仍然受到限制。新的男性包皮环切装置，如Shang Ring和PrePex装置，在初步试验中显示出希望，并可能在未来提供创新的方法来改善医疗男性包皮环切的获取。迅速采用新的和有希望的预防艾滋病毒的生物医学战略，包括用于预防艾滋病毒的抗逆转录病毒药物，将需要及早考虑提供系统和服务设计。
Medical male circumcision could prevent more than 5 million new HIV infections in men in Africa over 20 years and should be a central part of any combination prevention public health strategy. Surgical methods, with systems designed for high volume services, have been used in circumcision scale-up programs in several African countries, but remain limited by the need for high-level health workers, skilled in the surgical techniques, and appropriate facilities. New male circumcision devices such as the Shang Ring and the PrePex device have shown promise in initial trials and may provide innovative ways to improve access to medical male circumcision in the future. The rapid introduction of new and promising biomedical strategies for HIV prevention, including antiretrovirals for HIV prevention, will require early consideration of delivery systems and service design.