Hutchinson Jane, Goold Penny, Wilson Hugh, Jones Kevin, Estcourt Claudia
Department of Infection & Immunity, Barts and the London NHS Trust, St Bartholomew's Hospital, West Smithfield, London EC1A 7BB, UK.
Int J STD AIDS. 2003 Jul;14(7):493-6. doi: 10.1258/095646203322025821.
The sexual health care of 175 HIV-positive patients attending the two HIV clinics at Barts and the London NHS Trust was audited for the first time. The audit standard was that 100% of patients should be in receipt of a sexual health screen within six months of their first HIV out-patient appointment. Overall, 44.5% of patients had a sexual health screen, of which 46 (60.5%) were diagnosed with a sexually transmitted infection. Those screened were younger than those who were not. Five factors were identified which were significantly associated with not having a genitourinary screen performed; site of HIV care, setting of HIV diagnosis, stage of HIV disease, specialty of HIV physician and whether a screen was recommended by the HIV physician. A number of recommendations have been implemented to improve the uptake of sexual health screening amongst HIV-positive patients.
首次对在巴茨和伦敦国民保健服务信托基金的两家艾滋病诊所就诊的175名艾滋病毒呈阳性患者的性健康护理情况进行了审核。审核标准是100%的患者应在首次艾滋病毒门诊预约后的六个月内接受性健康检查。总体而言，44.5%的患者进行了性健康检查，其中46名（60.5%）被诊断出患有性传播感染。接受检查的患者比未接受检查的患者更年轻。确定了五个与未进行泌尿生殖系统检查显著相关的因素；艾滋病护理地点、艾滋病诊断背景、艾滋病疾病阶段、艾滋病医生的专业以及艾滋病医生是否建议进行检查。已经实施了一些建议，以提高艾滋病毒呈阳性患者对性健康检查的接受率。
