Nakanjako Damalie, Kamya Moses, Daniel Kyabayinze, Mayanja-Kizza Harriet, Freers Jurgen, Whalen Christopher, Katabira Elly
Department of Medicine, Makerere University Kampala, P.O. Box 25308, Kampala, Uganda.
AIDS Behav. 2007 Sep;11(5):753-8. doi: 10.1007/s10461-006-9180-9. Epub 2006 Nov 10.
HIV testing is an entry point to comprehensive HIV/AIDS prevention and care. In Uganda, Routine Testing and Counseling for HIV (RTC) is not widely offered as part of standard medical care in acute care settings. This study determined the acceptance of RTC in a medical emergency setting at Mulago national referral hospital. We interviewed 233 adult patients who were offered HIV testing. Overall, 83% were unaware of their HIV serostatus and 88% of these had been to a health unit in the previous six months. Of the 208 eligible for HIV testing, 95% accepted to test. Half the patients were HIV infected and 77% of these were diagnosed during the study. HIV testing was highly acceptable and detected a significant number of undiagnosed HIV infections. We recommend adoption of RTC as standard of care in the medical emergency unit in order to scale HIV diagnosis and linkage to HIV/AIDS care.
艾滋病毒检测是全面预防和护理艾滋病毒/艾滋病的切入点。在乌干达，作为急性护理环境中标准医疗服务的一部分，常规艾滋病毒检测与咨询（RTC）并未广泛提供。本研究确定了穆拉戈国家转诊医院在医疗紧急情况下对RTC的接受情况。我们采访了233名接受艾滋病毒检测的成年患者。总体而言，83%的人不知道自己的艾滋病毒血清学状态，其中88%的人在过去六个月内去过卫生机构。在208名符合艾滋病毒检测条件的患者中，95%接受了检测。一半的患者感染了艾滋病毒，其中77%是在研究期间被诊断出来的。艾滋病毒检测非常容易被接受，并检测出大量未被诊断的艾滋病毒感染病例。我们建议在医疗急救部门采用RTC作为护理标准，以便扩大艾滋病毒诊断范围并与艾滋病毒/艾滋病护理建立联系。
