Ahmad Seyed Alinaghi Seyed, Farhoudi Behnam, Hosseini Mostafa, Mohammadi Firouzeh Mona, Mohraz Minoo, Tashakoriyan Mehrzad
Islamic Azad University, Tehran Medical Sciences Branch, Shariati Street, Zargandeh, Tehran, Iran.
Infect Disord Drug Targets. 2016;16(2):109-12. doi: 10.2174/1871526516666160105113549.
Quickness of diagnosis and getting results in prisons is lower than other settings. The present study aimed to assess the quickness of HIV and Tuberculosis diagnostic process in the Great Tehran Prison.
The present study evaluated the quickness of HIV diagnostic testing (ELISA, Western Blot and CD4 count) in the Great Tehran Prison over the period of October 2013 to May 2014. Also, all suspected tuberculosis (TB) patients in the prison were examined for the occurrence of active TB through collecting 35 chest X-rays and 215 sputum specimens for acid-fast bacillus (AFB) testing at the health center laboratory.
The average interval between when test requests were made by a physician and when HIV ELIZA/ Western Blot was obtained was relatively long time. On average, the interval between a physicians requests for CD4 count to assess the results was eight days. The average time interval between test requests by a physician to deliver sputum samples to the laboratory was four days. However, the average time interval between a physicians requests for sputum samples to assess the results was 16 days.
Due to the significance of positive and negative results for making decision on diagnosis, initiation and follow up of treatment procedure, the time intervals should become shorter.
监狱中诊断的速度和获取结果的速度低于其他场所。本研究旨在评估德黑兰大监狱中艾滋病毒和结核病诊断过程的速度。
本研究评估了2013年10月至2014年5月期间德黑兰大监狱中艾滋病毒诊断检测（酶联免疫吸附测定、免疫印迹法和CD4计数）的速度。此外，通过在健康中心实验室收集35份胸部X光片和215份痰标本进行抗酸杆菌检测，对监狱中所有疑似结核病患者进行活动性结核病检查。
从医生提出检测请求到获得艾滋病毒酶联免疫吸附测定/免疫印迹法结果的平均间隔时间较长。平均而言，医生要求进行CD4计数以评估结果的间隔时间为8天。从医生提出检测请求到将痰标本送到实验室的平均时间间隔为4天。然而，从医生提出要求获取痰标本以评估结果的平均时间间隔为16天。
由于阳性和阴性结果对于诊断、治疗程序的启动和随访决策具有重要意义，时间间隔应缩短。
