Meystre-Agustoni G, Van Melle G, Chave J P, Martin J, Billo N, Glauser M P, Francioli P
Division des maladies infectieuses, Centre hospitalier universitaire vaudois, Lausanne.
Schweiz Med Wochenschr. 1990 Sep 22;120(38):1390-3; discussion 1393-6.
A two-phase survey was conducted in the Canton of Vaud among the 1006 registered private practitioners (response rate 98%). The first phase aimed at determining the proportion of these physicians involved in the care of HIV+ persons. The results showed that 43% of the practitioners had been consulted by HIV+ patients. In the second phase, all institutions (hospitals, prisons and IV-drug user rehabilitation and testing centers) and a representative sample of the physicians with HIV+ patients were asked about the transmission category of their HIV+ patients. A mathematical method was used to estimate the true number of known HIV+ individuals by December 1988. Approximately 60% of the HIV+ persons had been seen exclusively by the private practitioners. IV-drug users represented 57% of all HIV+ persons compared to only 27% of the AIDS cases registered in 1988, suggesting that an important change in the transmission categories of AIDS cases is to be expected in the near future. These observations underscore the evolving nature of the HIV epidemic on the one hand, and the crucial role of the private practitioners in the prevention of the HIV infection on the other. This also points to the need for methods specifically designed to monitor HIV and AIDS epidemics respectively.
在沃州对1006名注册私人执业医生进行了两阶段调查（回复率98%）。第一阶段旨在确定这些医生中为HIV阳性患者提供护理的比例。结果显示，43%的执业医生曾接待过HIV阳性患者咨询。在第二阶段，向所有机构（医院、监狱以及静脉注射吸毒者康复和检测中心）以及有HIV阳性患者的医生代表样本询问了其HIV阳性患者的传播类别。采用一种数学方法来估算截至1988年12月已知HIV阳性个体的真实数量。约60%的HIV阳性患者仅由私人执业医生诊治过。静脉注射吸毒者占所有HIV阳性患者的57%，而在1988年登记的艾滋病病例中仅占27%，这表明预计在不久的将来艾滋病病例的传播类别会发生重大变化。这些观察结果一方面强调了HIV疫情的不断演变的性质，另一方面强调了私人执业医生在预防HIV感染方面的关键作用。这也表明需要分别专门设计用于监测HIV和艾滋病疫情的方法。
