Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
J Acquir Immune Defic Syndr. 2013 Jul;63 Suppl 2:S117-21. doi: 10.1097/QAI.0b013e3182986f25.
The value of HIV testing has grown in parallel with the development of increasingly effective HIV treatment. Evidence for the substantial reductions in transmission when persons receive antiretroviral therapy creates a new impetus to increase testing and early diagnosis. Models of treatment as prevention--dubbed "test and treat"--give reason for optimism that control and elimination of HIV may now be within reach. This will be possible only with widespread testing, prompt and accurate diagnosis, and universal access to immediate antiviral therapy. Many successful approaches for scaling up testing were pioneered in resource-limited countries before they were adopted by countries in the developed world. The future of HIV testing is changing. Lessons learned from other case-finding initiatives can help chart the course for comparable HIV testing endeavors.
随着日益有效的 HIV 治疗方法的发展，HIV 检测的价值也不断提高。接受抗逆转录病毒治疗可显著降低传播风险的证据，为增加检测和早期诊断提供了新的动力。将治疗作为预防的模式——被称为“检测和治疗”——使人们有理由乐观地认为，控制和消除 HIV 现在可能已经触手可及。这只有通过广泛的检测、快速准确的诊断以及普及立即进行抗病毒治疗才能实现。在发达国家采用之前，资源有限的国家已经开创了许多扩大检测规模的成功方法。HIV 检测的未来正在发生变化。从其他病例发现举措中吸取的经验教训可以帮助规划类似的 HIV 检测工作。
