Additional Public Health Benefits of HIV Partner Services and More Opportunities for Improvement.
Additional Public Health Benefits of HIV Partner Services and More Opportunities for Improvement.
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HIV 合作伙伴服务的额外公共卫生益处和更多改进机会。
DOI:
10.1097/olq.0000000000001824
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发表时间:
2023
影响因子:
3.1
通讯作者:
Stover,Deanna
中科院分区:
文献类型:
--
作者:
Hattis,RonaldP;Richwald,GaryA;Klausner,JeffreyD;Stover,Deanna
To the Editor: As leaders of the Beyond AIDS Foundation, 1 a strong supporter of HIV partner services (including contact tracing, partner notification and testing, result-specific follow-up, and other appropriate services), we applaud the article by Williams et al. 2 The article highlighted partner services as a means of detecting undiagnosed HIV infections. We would like to point out 4 additional public health benefits of HIV partner services, not mentioned in that article:1. Most identified partners of a newly diagnosed person with HIV infection are likely not only to be undiagnosed but also to be recently infected. Initiating treatment for such individuals can both provide the earliest opportunity to prevent additional infections, and achieve the best clinical outcomes. 3 2. One of the contacts may be the source of infection, likely an undiagnosed and untreated person with a high viral load, and capable of causing further infections. Testing and treating such an individual is a high priority for prevention. 3. Contacts who test negative for HIV infection have been exposed and may continue to be, without intervention. They, too, are a high priority for prevention. Increased attention to at-risk HIV-uninfected individuals, including safer sex counseling and referrals for preexposure prophylaxis, is consistent with Centers for Disease Control and Prevention's (CDC's) new “status neutral” initiative. 4 4. Partner services can also be expanded or linked with other services for newly diagnosed persons with HIV infection. Those individuals can be guided through the HIV Care Continuum aimed at viral suppression, 5 and assisted to achieve other beneficial outcomes. An example is a pilot project in 4 counties of North Carolina.“Disease intervention specialists” went