快速艾滋病毒检测项目的实施：来自急诊科的经验教训。
Rapid HIV testing program implementation: lessons from the emergency department.
作者信息
Arbelaez Christian, Block Brian, Losina Elena, Wright Elizabeth A, Reichmann William M, Mikulinsky Regina, Solomon Jessica D, Dooley Matthew M, Walensky Rochelle P
机构信息
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
出版信息
Int J Emerg Med. 2009 Sep 1;2(3):187-94. doi: 10.1007/s12245-009-0123-x.
Abstract
BACKGROUND
The US Centers for Disease Control and Prevention (CDC) guidelines and the World Health Organization (WHO) both recommend HIV testing in health-care settings. However, neither organization provides prescriptive details regarding how these recommendations should be adapted into clinical practice in an emergency department.
METHODS
We have implemented an HIV-testing program in the ED of a major academic medical center within the scope of the Universal Screening for HIV Infection in the Emergency Room (USHER) Trial-a randomized clinical trial evaluating the feasibility and cost-effectiveness of HIV screening in this setting.
RESULTS AND CONCLUSION
Drawing on our collective experiences in establishing programs domestically and internationally, we offer a practical framework of lessons learned so that others poised to embark on such HIV testing programs may benefit from our experiences.
摘要
背景
美国疾病控制与预防中心（CDC）指南以及世界卫生组织（WHO）均建议在医疗保健机构中进行HIV检测。然而，这两个组织均未提供关于如何将这些建议应用于急诊科临床实践的具体细节。
方法
我们在一家大型学术医疗中心的急诊科实施了一项HIV检测项目，该项目属于急诊室HIV感染通用筛查（USHER）试验的范畴——这是一项随机临床试验，旨在评估在此环境下进行HIV筛查的可行性和成本效益。
结果与结论
借鉴我们在国内外建立相关项目的集体经验，我们提供了一个总结经验教训的实用框架，以便其他准备开展此类HIV检测项目的机构能够从我们的经验中受益。
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