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在一个大型监狱系统中使用远程医疗进行艾滋病专科护理可改善病毒学抑制效果：一项采用历史对照的观察性研究

Improved virologic suppression with HIV subspecialty care in a large prison system using telemedicine: an observational study with historical controls.

作者信息

Young Jeremy D, Patel Mahesh, Badowski Melissa, Mackesy-Amiti Mary Ellen, Vaughn Pyrai, Shicker Louis, Puisis Michael, Ouellet Lawrence J

机构信息

Department of Medicine, Division of Infectious Diseases, Immunology and International Medicine.

College of Pharmacy.

出版信息

Clin Infect Dis. 2014 Jul 1;59(1):123-6. doi: 10.1093/cid/ciu222. Epub 2014 Apr 9.

DOI:10.1093/cid/ciu222
PMID:24723283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4305134/
Abstract

Correctional populations have an elevated human immunodeficiency virus (HIV) prevalence, yet many individuals lack access to subspecialty care. Our study showed that HIV-infected inmates had significantly greater virologic suppression and higher CD4 T-lymphocyte counts when managed by a multidisciplinary team of subspecialists conducting clinics via telemedicine. In other studies, these outcomes have been associated with reductions on HIV-related morbidity and mortality, as well as HIV transmission.

摘要

惩教机构中的人群感染人类免疫缺陷病毒（HIV）的比例较高，但许多人无法获得专科护理。我们的研究表明，当由一组通过远程医疗开展门诊的专科医生组成的多学科团队进行管理时，感染HIV的囚犯在病毒学抑制方面显著更好，CD4 T淋巴细胞计数也更高。在其他研究中，这些结果与HIV相关发病率和死亡率的降低以及HIV传播的减少有关。

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Prevention of HIV-1 infection with early antiretroviral therapy.早期抗逆转录病毒疗法预防 HIV-1 感染。
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