Screening for HIV infection.

Screening for HIV infection.
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筛查艾滋病毒感染。

DOI:
10.1136/bmj.i1
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发表时间:
2016
期刊:
BMJ (Clinical research ed.)
影响因子:
--
通讯作者:
Rowan,SarahE
Rowan,SarahE
中科院分区:
--
文献类型:
--
作者:
Haukoos,JasonS;Rowan,SarahE

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全世界约有3700万人感染艾滋病毒,约46%的感染者仍未得到诊断。1工业化国家未确诊病例的比例较低,但未确诊感染者的负担仍然很重。例如,美国120万艾滋病毒感染者中约有13%没有诊断。2此外,未经诊断的人对病毒传播的贡献不成比例,约占艾滋病毒传播的30%。3艾滋病毒感染检测仍然是旨在控制这一流行病的一系列干预措施中至关重要的第一步。4艾滋病毒检测呈阳性的人可以接受护理并获得病毒抑制,这大大限制了向前传播的可能性。5除了知道谁应该接受艾滋病毒检测外,在提供艾滋病毒检测时最大限度地获得接受是这一过程的一个重要部分,可能会大大影响识别率。在一篇链接的论文中(doi:10.1136/bmj. h6895),Montoy和他的同事研究了这个重要的问题。6
Worldwide, approximately 37 million people are infected with HIV and approximately 46% of infections remain undiagnosed. 1 The proportion of undiagnosed cases is lower in industrialized countries, although the burden of people living with undiagnosed infection remains substantial. For example, approximately 13% of the 1.2 million people living with HIV in the United States do not have a diagnosis. 2 Moreover, people without a diagnosis contribute disproportionately to transmission of the virus, accounting for about 30% of HIV transmissions. 3Testing for HIV infection remains a critical first step in a series of interventions aimed at controlling the epidemic. 4 People who test positive for HIV can then engage in care and attain viral suppression, which dramatically limits the possibility of forward transmission. 5 Besides knowing who should be offered HIV testing, maximizing acceptance when HIV testing is offered is a vital piece of the process and may significantly affect the rate of identification. In a linked paper (doi: 10.1136/bmj. h6895), Montoy and colleagues examine this important matter. 6
常规产前艾滋病毒检测
DOI: 10.1136/bmj.319.7216.1069
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