Critical Care Directorate, Chesterfield Royal Hospital, , Chesterfield, UK.
Thorax. 2013 Nov;68(11):1072-4. doi: 10.1136/thoraxjnl-2012-202871. Epub 2013 Mar 7.
Records were reviewed (n=1052) for patients admitted to a large general intensive care unit (GICU) and examined for HIV testing criteria published in UK national testing guidelines (UKNG). All actual tests sent from GICU were also examined for comparison. Strict application of the UKNG revealed 30% of patients met criteria for HIV testing on admission to GICU. With pragmatic application, 18% of admissions met criteria for testing. Less than 5% of admissions were actually tested when no testing guideline was adopted.
The UKNG can be adopted in a representative GICU to increase HIV testing rate by 4-6-fold.
对入住大型综合重症监护病房（GICU）的患者记录进行了审查（n=1052），并根据英国国家检测指南（UKNG）中公布的 HIV 检测标准进行了检查。还对所有实际从 GICU 送检的检测进行了检查，以作比较。严格应用 UKNG 显示，30%的患者在入 GICU 时符合 HIV 检测标准。采用实用方法，18%的入院患者符合检测标准。如果不采用检测指南，实际接受检测的入院人数不到 5%。
在有代表性的 GICU 中采用 UKNG 可以将 HIV 检测率提高 4-6 倍。
