Pontali Emanuele
Health Services, Prison of Genoa, Genoa, Italy.
HIV Clin Trials. 2005 Jan-Feb;6(1):25-37. doi: 10.1310/GTQM-QRM1-FDW8-Y2FT.
To identify and describe the relevant issues and difficulties associated with provision of antiretroviral therapy in correctional facilities.
We performed a review and analysis of currently available literature and experiences on antiretroviral treatment (ART) in the prison setting.
Antiretroviral therapy is administered to human immunodeficiency virus (HIV)-infected prison inmates in many countries. Numerous issues have been identified and discussed; among the most relevant are availability of basic and specific HIV care, prisons as entry point for HIV care for marginalized populations, policy and guidelines for ART, specialized HIV care in prison, modality of administration of ART, adherence to ART, and continuity of care between prison and community.
Antiretroviral treatment is a feasible intervention in the context of correctional facilities. To ensure full benefit of ART for those prisoners in need, in each country there should be plans for ART provision in correctional facilities and the necessary arrangements should be made to ensure ART administration and optimal adherence to it.
识别并描述在惩教机构中提供抗逆转录病毒疗法相关的问题和困难。
我们对目前关于监狱环境中抗逆转录病毒治疗（ART）的可用文献和经验进行了综述和分析。
许多国家对感染人类免疫缺陷病毒（HIV）的监狱囚犯进行抗逆转录病毒治疗。已识别并讨论了众多问题；其中最相关的有基本和特定HIV护理的可及性、监狱作为边缘化人群HIV护理的切入点、抗逆转录病毒疗法的政策和指南、监狱中的专门HIV护理、抗逆转录病毒疗法的给药方式、对抗逆转录病毒疗法的依从性以及监狱与社区之间护理的连续性。
在惩教机构环境中，抗逆转录病毒治疗是一种可行的干预措施。为确保有需要的囚犯充分受益于抗逆转录病毒疗法，每个国家都应有在惩教机构中提供抗逆转录病毒疗法的计划，并应做出必要安排以确保抗逆转录病毒疗法的实施及最佳依从性。
