Anova Health Institute, Johannesburg, South Africa.
J Acquir Immune Defic Syndr. 2011 Dec 15;58(5):506-8. doi: 10.1097/QAI.0b013e318237af5d.
Medical male circumcision could prevent more than 5 million new HIV infections in men in Africa over 20 years and should be a central part of any combination prevention public health strategy. Surgical methods, with systems designed for high volume services, have been used in circumcision scale-up programs in several African countries, but remain limited by the need for high-level health workers, skilled in the surgical techniques, and appropriate facilities. New male circumcision devices such as the Shang Ring and the PrePex device have shown promise in initial trials and may provide innovative ways to improve access to medical male circumcision in the future. The rapid introduction of new and promising biomedical strategies for HIV prevention, including antiretrovirals for HIV prevention, will require early consideration of delivery systems and service design.
医学男性割礼可以在 20 年内预防非洲地区超过 500 万例新的男性 HIV 感染，因此应该成为任何综合预防公共卫生策略的核心部分。在一些非洲国家，手术方法（设计用于大规模服务的系统）已用于割礼扩大项目，但仍受到需要高水平卫生工作者、熟练掌握手术技术和适当设施的限制。新的男性割礼设备，如 Shang Ring 和 PrePex 设备，在初步试验中显示出了希望，将来可能为改善获得医学男性割礼的机会提供创新途径。迅速引入新的、有希望的艾滋病毒预防生物医学策略，包括用于预防艾滋病毒的抗逆转录病毒药物，将需要尽早考虑交付系统和服务设计。
