大型初级保健网络中医疗服务提供者对暴露前预防监测指南的遵循情况
Provider Adherence to Pre-exposure Prophylaxis Monitoring Guidelines in a Large Primary Care Network.
作者信息
Spinelli Matthew A, Scott Hyman M, Vittinghoff Eric, Liu Albert Y, Morehead-Gee Alicia, Gonzalez Rafael, Buchbinder Susan P
机构信息
Division of HIV, ID, and Global Medicine, San Francisco, California.
Department of Medicine, University of California, San Francisco, San Francisco, California.
出版信息
Open Forum Infect Dis. 2018 May 4;5(6):ofy099. doi: 10.1093/ofid/ofy099. eCollection 2018 Jun.
Abstract
Insufficient pre-exposure prophylaxis (PrEP) laboratory monitoring could increase HIV resistance and sexually transmitted infections. We examined test-ordering in a primary care network. Providers did not order HIV testing before almost one-quarter of PrEP initiations; panel management was associated with higher testing. Effective monitoring is needed to maximize PrEP's preventive impact.
摘要
暴露前预防（PrEP）实验室监测不足可能会增加艾滋病毒耐药性和性传播感染。我们在一个初级保健网络中检查了检测医嘱情况。在近四分之一的PrEP开始使用前，医疗服务提供者未开具艾滋病毒检测；综合管理与更高的检测率相关。需要进行有效的监测，以最大限度地发挥PrEP的预防作用。
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