Understanding HIV Screening in the Emergency Department: Is Perception Reality?
Understanding HIV Screening in the Emergency Department: Is Perception Reality?
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DOI：
10.1111/acem.12082
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发表时间：
2013-03-01
影响因子：
4.4
通讯作者：
Hopkins, Emily
中科院分区：
文献类型：
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作者：
Haukoos, Jason S.;Hopkins, Emily
检测是旨在减轻艾滋病毒流行的一系列重要干预措施中的第一步。 1 识别艾滋病毒感染者提供了一个重要的机会，让他们接受护理，使用高活性抗逆转录病毒药物治疗可以显着改善免疫功能，同时减少病毒载量，从而减缓疾病进展并减少传染性。 2, 3 了解一个人的血清状况还可以减弱有助于病毒传播的个人行为。 4 以此为控制疫情的基础，一个主要的预防目标是让每个人都了解自己的 HIV 血清状况，并让 HIV 感染者积极参与护理。作为实现这一目标的初步催化剂，美国疾病控制与预防中心 (CDC) 于 2006 年发布了医疗机构中 HIV 筛查的修订建议。 5 这些建议为在美国进行更广泛的艾滋病毒筛查创建了一个框架，并从根本上减少了完成检测的障碍，从而显着改变了检测范式。过去六年来，围绕这些建议开展的研究的质量和数量都是前所未有的。 6
Testing is the first in a series of important interventions aimed at mitigating the HIV epidemic. 1 Identifying individuals with HIV infection provides a critical opportunity to link them into care where treatment with highly active antiretroviral medications significantly improves immune function while reducing viral load, thus slowing disease progression and reducing infectivity. 2, 3 Knowing one's serostatus also attenuates individual behaviors that contribute to transmission of the virus. 4 With this as the basis for control of the epidemic, a major prevention goal is for everyone to know his or her HIV serostatus, and for those infected with HIV to be actively engaged in care.As an initial catalyst to this end, in 2006 the Centers for Disease Control and Prevention (CDC) released revised recommendations for HIV screening in health care settings. 5 These recommendations created a framework for performing broader HIV screening in the United States, and significantly changed the testing paradigm by fundamentally reducing barriers to completing testing. Over the past six years, the quality and quantity of research conducted around these recommendations has been nothing but unprecedented. 6