Semaille P, Dubois S, Gennotte A F
D.M.G.-U.L.B., C.H.U. Saint-Pierre, Bruxelles.
Rev Med Brux. 2005 Sep;26(4):S367-77.
Dealing with HIV/AIDS in primary care encompasses preventive, curative, social and psychological aspects within a framework of a person-centred approach. Antiretroviral treatments enable the control of HIV infection, prevent opportunistic infections and allow patients to "live their life" with an increased life expectancy, active sexuality and need to procreate. The holistic care of patients should always be the primary concern. An increased involvement of GP's in HIV care can raise the quality of care, reduce the stigma and prejudice surrounding HIV Medical care providers can substantially affect HIV transmission by positively reinforcing changes to safe behavior, by referring patients for specialized services and working in direct collaboration with them, by facilitating partner counseling and testing. However, providers must interweave the "half-baked "science about drug therapies, side effects and drug interactions with the psychosocial and lifestyle factors of the patient. Sometimes it's not easy to find adequate and relevant information about HIV in primary care. This document will provide primary care givers the keys for improvement, increase their basic HIV-related skills (and strengthen their role in HIV/AIDS prevention and follow-up) and make them more confident in their assessments.
在初级保健中应对艾滋病毒/艾滋病，在以人为本的方法框架内涵盖预防、治疗、社会和心理等方面。抗逆转录病毒治疗能够控制艾滋病毒感染，预防机会性感染，并使患者能够“正常生活”，延长预期寿命，保持积极的性生活并满足生育需求。对患者的整体护理应始终是首要关注点。全科医生更多地参与艾滋病毒护理可提高护理质量，减少围绕艾滋病毒的耻辱感和偏见。医疗服务提供者可通过积极强化安全行为的改变、将患者转介至专科服务并与其直接合作、促进性伴咨询和检测，从而对艾滋病毒传播产生重大影响。然而，医疗服务提供者必须将关于药物疗法、副作用和药物相互作用的“不完善”科学与患者的心理社会和生活方式因素交织起来。有时在初级保健中很难找到足够且相关的艾滋病毒信息。本文件将为初级保健提供者提供改进的关键，提高他们与艾滋病毒相关的基本技能（并加强他们在艾滋病毒/艾滋病预防和随访中的作用），并使他们在评估中更有信心。
