摘要
目的探索艾滋病病毒(HIV)感染者/艾滋病(AIDS)病人(简称HIV/AIDS病人)随访管理新模式,有效地随访管理艾滋病病例。方法按照国家疾病预防控制中心设计的"个案随访表"的随访内容,制订工作指引,对镇医院、社区卫生服务中心及其他相关人员进行培训,对HIV/AIDS病例进行现况调查、行为干预和转介。结果在珠海市西部地区探索以疾病预防控制中心、镇医院、社区卫生服务中心随访管理为主(三级纵向),抗病毒治疗机构、美沙酮维持治疗点和羁押机构(横向)等协助进行的随访管理网络新模式后,增强了当地医务人员防控艾滋病能力的同时,HIV/AIDS病例的随访率由原来的不足60%上升到90%以上,CD+4T淋巴细胞检测率、抗病毒治疗覆盖率等指标也都有很大的提高。结论新的随访管理模式成效显著,在深入推行该模式的同时,应加强非政府组织(NGO)和个人在HIV/AIDS病例随访管理中的作用,加大自愿咨询和检测门诊的宣传、转介力度,以及时发现艾滋病的非阳性配偶/固定性伴中的潜在感染者。
Objective To explore a new integrated management model of human immunodeficiency virus（HIV） infected/acquired immune deficiency syndrome（AIDS） cases, and follow-up AIDS cases more effectively. Methods According to the ＂case follow-up form＂ designed by National Center for Disease Control and Prevention （CDC）, related HIV/AIDS cases were investigated by face-to-face interviews or telephone conversations. Behaviors were intervened and cases were transferred. Results New model of follow-up management based on the CDC, township hospitals and community health servie centers, and assisted by antiviral treatment agencies, methadone maintenance treatment points and custody institutions was established in the western region of Zhuhai City. The ability of local medical staff working in AIDS control and prevent was promoted, follow-up proportion of HIV/AIDS cases increased from less than 60% to more than 90%, and rates of CD4 detection and antiviral therapy coverage were greatly improved. Conclusion The new follow-up management model is very effective. The roles of the non-governmental organization （NGO） and individuals in the follow-up of HIV/AIDS cases should be strengthened. It is recommended to increase the publicity of voluntary counseling and testing （VCT） and referrals to find potential infectors among spouses/regular sex partners of HIV/AIDS cases.
出处
《中国艾滋病性病》
CAS
2014年第1期47-48,59,共3页
Chinese Journal of Aids & STD
基金
珠海市西部地区艾滋病病例随访管理模式优化研究(2013013)~~
关键词
艾滋病
随访管理
综合管理模式
AIDS Follow-up management Integrated management model
