Dolan K A, Wodak A
National Drug and Alcohol Research Centre, University of New South Wales, Sydney.
Med J Aust. 1999 Jul 5;171(1):14-7. doi: 10.5694/j.1326-5377.1999.tb123490.x.
To investigate possible HIV transmission among prison inmates.
A prison system in an Australian State.
13 ex-prisoners and their prison contacts.
Ex-prisoners who claimed to have been infected with HIV in prison and their prison contacts were interviewed about HIV risk behaviour. Entries in prison and community medical records were used by a three-member expert panel to establish the likelihood of primary HIV infection and its possible timing and location.
Determination of whether HIV infection probably occurred in prison.
There was a very high probability that at least four of 13 ex-prisoners investigated acquired HIV in prison from shared injection equipment. Another two ex-prisoners most probably acquired HIV infection outside prison. The location of infection for the remaining seven could not be determined.
HIV transmission in prison has substantial public health implications as most drug-using prisoners soon return to the community. HIV prevention strategies known to be effective in community settings, such as methadone maintenance treatment and syringe exchange schemes, should be considered for prisoners.
调查监狱服刑人员中可能存在的艾滋病毒传播情况。
澳大利亚某州的监狱系统。
13名出狱人员及其在狱中接触者。
对自称在狱中感染艾滋病毒的出狱人员及其在狱中接触者就艾滋病毒风险行为进行访谈。一个由三人组成的专家小组利用监狱和社区医疗记录来确定初次感染艾滋病毒的可能性及其可能的时间和地点。
确定艾滋病毒感染是否很可能发生在狱中。
在接受调查的13名出狱人员中，至少有4人极有可能是在狱中通过共用注射设备感染艾滋病毒的。另外两名出狱人员很可能是在出狱后感染艾滋病毒的。其余7人的感染地点无法确定。
由于大多数吸毒囚犯很快就会重返社区，监狱中的艾滋病毒传播对公共卫生有重大影响。对于囚犯，应考虑采用在社区环境中已知有效的艾滋病毒预防策略，如美沙酮维持治疗和针头交换计划。
