Frequent Detection of Undiagnosed HIV Within Emergency Departments in Botswana.
Frequent Detection of Undiagnosed HIV Within Emergency Departments in Botswana.
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博茨瓦纳急诊科经常发现未确诊的艾滋病毒。
DOI：
10.1097/olq.0000000000001312
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发表时间：
2021
影响因子：
3.1
通讯作者：
Ledikwe,Jenny
中科院分区：
文献类型：
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作者：
Pintye,Jillian;Ortblad,KatrinaF;Mawandia,Shreshth;Bakae,Odirile;Tau,Lenna;Grande,Matias;Mogomotsi,GoabaonePanky;Mmatli,Esther;Ngombo,Modise;Norman,Tebogo;Seckel,Laura;Ledikwe,Jenny
方法 2015 年，博茨瓦纳卫生和保健部 (MOHW) 与国际卫生培训和教育中心 (I-TECH) 发起合作，通过公共部门设施的培训、指导和持续质量改进活动，加强常规艾滋病毒检测的实施。 8 博茨瓦纳卫生和健康部 HIV 检测登记册包括检测人员的年龄、性别、公民身份和检测日期。每个测试记录都包含一个政府颁发的唯一标识号，该标识号可在访问期间链接，该标识号在分析之前已从数据集中删除。还捕获进行 HIV 检测的临床科室：产前保健诊所、急诊室、住院病房、儿科病房、结核病 (TB) 诊所、性传播感染 (STI) 诊所、HIV 自愿咨询和检测 (VCT) 以及其他 PITC（例如门诊诊所）。登记册记录了个人是否作为指标检测服务的一部分接受了检测，以及艾滋病毒检测呈阳性的个人是否按照国家指南开始当天抗逆转录病毒治疗 (ART)。 3 后一个变量于 2018 年 9 月添加到寄存器中。
METHODSIn 2015, Botswana Ministry of Health and Wellness (MOHW) and the International Training and Education Center for Health (I-TECH) initiated a collaboration to strengthen the implementation of routine HIV testing through training, mentoring, and continuous quality improvement activities at public sector facilities. 8 Botswana Ministry of Health and Wellness HIV testing registers include individual tester's age, sex, citizenship, and testing date. Each testing record includes a government-issued unique identification number that is linkable across visits, which was removed from the data set before analysis. The clinical department where HIV testing occurred is also captured: antenatal care clinic, ED, inpatient ward, pediatric ward, tuberculosis (TB) clinic, sexually transmitted infection (STI) clinic, HIV voluntary counseling and testing (VCT), and other PITC (eg, outpatient clinics). Registers capture whether individuals are tested as part of index testing services and whether individuals that test HIV-positive initiate same-day antiretroviral therapy (ART) per national guidelines. 3 The latter variable was added to the register in September 2018.