1The Johns Hopkins UniversitySchool of Medicine, Baltimore,Maryland, USA.
Sex Transm Infect. 2010 Dec;86(7):548-52. doi: 10.1136/sti.2009.040626. Epub 2010 Jul 23.
To describe a pilot programme that consisted of identifying, contacting and providing HIV testing to members of social and sexual networks of HIV-infected youth patients as a part of routine clinical care at an adolescent HIV clinic in Baltimore, Maryland, USA.
Forty-nine sexually active HIV-infected adolescent patients were interviewed about their social and sexual contacts at a routine HIV clinic visit. A trained community health worker located these referred social and sexual contacts, and encouraged them to make an appointment for HIV counselling, testing and referral (CTR) services.
During a period of 18 months, 26 index youths provided locating information on 53 first-generation contacts and these 53 contacts provided information on 16 second-generation contacts. A total of 32 contacts received counselling services and 25 were tested for HIV infection, yielding three new HIV-positive individuals.
As a part of standard care for regular visits of HIV-infected youth patients, interviewing about their social and sexual contacts could be a viable strategy in identifying high-risk youths for HIV infection and subsequent CTR services.
描述一个试点项目，该项目包括识别、联系和为马里兰州巴尔的摩市一家青少年艾滋病诊所常规临床护理中的艾滋病感染青年患者的社会和性网络成员提供艾滋病毒检测。
在常规艾滋病毒诊所就诊时，对 49 名性活跃的艾滋病毒感染青少年患者进行了有关其社会和性接触的访谈。一名经过培训的社区卫生工作者找到了这些被转介的社会和性接触者，并鼓励他们预约艾滋病毒咨询、检测和转介（CTR）服务。
在 18 个月的时间里，26 名索引青年提供了 53 名第一代接触者的定位信息，这些接触者提供了 16 名第二代接触者的信息。共有 32 名接触者接受了咨询服务，25 名接受了艾滋病毒感染检测，发现了 3 名新的艾滋病毒阳性个体。
作为艾滋病毒感染青年患者常规就诊标准护理的一部分，询问其社会和性接触情况可能是识别艾滋病毒感染高风险青年并随后提供 CTR 服务的可行策略。
