Giordano Thomas P
Baylor College of Medicine, Houston, TX, USA.
Top Antivir Med. 2018 Jun;26(2):62-65.
Retention of HIV-infected patients in care is crucial to optimizing individual patient outcomes and reducing transmission of HIV. A number of strategies are available to improve linkage to care; among them, the AntiRetroviral Treatment and Access Services intervention should be considered standard of care at the clinic level. With regard to retention in care, the Retention Through Enhanced Personal Contact intervention has been shown to improve retention rates and the Centers for Disease Control and Prevention Data to Care program has been successful in assisting public health authorities to locate and return to treatment patients presumed to be lost to follow-up. Patient satisfaction with initial physician and clinic encounters also improves retention. There are some data to support same-day or rapid start of antiretroviral therapy in the clinic setting as a method to immediately establish care and more data on this approach are needed. This article summarizes a presentation by Thomas P. Giordano, MD, MPH, at the Ryan White HIV/AIDS Program Clinical Conference held in San Antonio, Texas, in August 2017.
让感染艾滋病毒的患者持续接受治疗对于优化个体患者的治疗效果以及减少艾滋病毒传播至关重要。有多种策略可用于改善与治疗的衔接；其中，抗逆转录病毒治疗与获取服务干预措施应被视为诊所层面的标准治疗方法。关于持续接受治疗，通过加强个人联系实现持续治疗的干预措施已被证明可提高留存率，疾病控制与预防中心的数据关怀项目成功协助公共卫生当局找到并让那些被认为失访的患者重新接受治疗。患者对初次与医生及诊所接触的满意度也有助于提高留存率。有一些数据支持在诊所环境中当日或快速启动抗逆转录病毒治疗作为立即建立治疗关系的一种方法，并且需要更多关于这种方法的数据。本文总结了医学博士、公共卫生硕士托马斯·P·乔达诺于2017年8月在得克萨斯州圣安东尼奥市举行的瑞安·怀特艾滋病毒/艾滋病项目临床会议上的一次演讲。
