Foster Rosalind, Morris Sian, Ryder Nathan, Wray Lynne, McNulty Anna
Sydney Sexual Health Centre, Sydney, NSW 2001, Australia.
Sex Health. 2011 Mar;8(1):30-42. doi: 10.1071/SH10021.
To develop guidelines to facilitate management of HIV infection as a chronic disease within the setting of a sexual health or other HIV outpatient clinic.
We undertook a literature search to identify published guidelines and expert panel commentaries on screening and managing non-AIDS comorbidities in the general and HIV-infected population. We developed evidence-based guidelines for screening and management of non-AIDS comorbidities in HIV-positive clients attending the Sydney Sexual Health Centre (SSHC) that could be used in other HIV outpatient settings.
Guidelines have been developed that describe the recommended tests and an interpretation of results, and outline actions to take if abnormal. A summary document can be placed in the medical notes to record completed tests, and resources such as lifestyle modification pamphlets and cardiovascular risk assessment tools made easily available in clinics.
These guidelines are being used by nurses and doctors to facilitate the management of HIV as a chronic disease in the SSHC. This represents a significant shift in practice from the traditional role of a sexual health clinic, and is likely to become increasingly important in resource-rich countries such as Australia where individuals with HIV are expected to live beyond their seventh decade. This model could be used in other HIV outpatient settings including general practice.
制定相关指南，以便在性健康门诊或其他艾滋病毒门诊环境中将艾滋病毒感染作为一种慢性病进行管理。
我们进行了文献检索，以确定已发表的关于普通人群和艾滋病毒感染人群中非艾滋病合并症筛查与管理的指南及专家小组评论。我们为悉尼性健康中心（SSHC）的艾滋病毒阳性患者制定了基于证据的非艾滋病合并症筛查与管理指南，这些指南可用于其他艾滋病毒门诊环境。
已制定的指南描述了推荐的检测方法及结果解读，并概述了结果异常时应采取的措施。可在病历中放置一份总结文件，记录已完成的检测，同时在诊所轻松提供生活方式改变宣传册和心血管风险评估工具等资源。
护士和医生正在使用这些指南，以促进SSHC将艾滋病毒作为慢性病进行管理。这代表了从性健康诊所传统角色的重大实践转变，在澳大利亚等资源丰富的国家可能会变得越来越重要，因为在这些国家，艾滋病毒感染者有望活到七十多岁以后。该模式可用于包括全科医疗在内的其他艾滋病毒门诊环境。
