马拉维基层医疗层面早期婴儿HIV感染成功诊断的障碍。

Barriers to successful early infant diagnosis of HIV infection at primary care level in Malawi.

作者信息

Cromwell Elizabeth A, Dow Anna E, Low Daniel, Chirambo Chawanangwa, Heyderman Robert S, Dube Queen, Van Rie Annelies

机构信息

From the *Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina; †Malawi-Liverpool-Wellcome Trust Clinical Research Programme, University of Malawi College of Medicine, Blantyre, Malawi; ‡Department of Pediatrics & Child Health, Queen Elizabeth Central Hospital, Blantyre, Malawi; and §School of Medicine, University of Washington, Seattle, Washington.

出版信息

Pediatr Infect Dis J. 2015 Mar;34(3):273-5. doi: 10.1097/INF.0000000000000625.

DOI:10.1097/INF.0000000000000625

PMID:25742076

Abstract

HIV-infected women seeking early infant HIV diagnosis (EID) services in Malawi were asked about factors potentially associated with returning for EID results. Many (33.3%) infants failed to complete the EID process because of time and costs required for multiple visits. Infants of mothers receiving antiretroviral treatment were less likely to drop out (adjusted risk ratio 0.51), suggesting that EID completion may improve in programs providing antiretroviral treatment to all pregnant women.

摘要

在马拉维寻求早期婴儿HIV诊断（EID）服务的HIV感染女性被问及可能与返回获取EID结果相关的因素。许多（33.3%）婴儿因多次就诊所需的时间和费用而未能完成EID流程。接受抗逆转录病毒治疗的母亲所生婴儿辍学的可能性较小（调整风险比为0.51），这表明在为所有孕妇提供抗逆转录病毒治疗的项目中，EID的完成情况可能会得到改善。