在莫桑比克农村地区通过主动手机追踪追回失访的 HIV 感染儿童。
Reengagement of HIV-infected children lost to follow-up after active mobile phone tracing in a rural area of Mozambique.
机构信息
Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
出版信息
J Trop Pediatr. 2019 Jun 1;65(3):240-248. doi: 10.1093/tropej/fmy041.
INTRODUCTION
Retention in care and reengagement of lost to follow-up (LTFU) patients are priority challenges in pediatric HIV care. We aimed to assess whether a telephone-call active tracing program facilitated reengagement in care (RIC) in the Manhiça District Hospital, Mozambique.
METHODS
Telephone tracing of LTFU children was performed from July 2016 to March 2017. Both ART (antiretroviral treatment) and preART patients were included in this study. LTFU was defined as not attending the clinic for ≥120 days after last attended visit. Reengagement was determined 3 months after an attempt to contact.
RESULTS
A total of 144 children initially identified as LTFU entered the active tracing program and 37 were reached by means of telephone tracing. RIC was 57% (95% CI, 39-72%) among children who could be reached versus 18% (95% CI, 11-26%) of those who could not be reached (p = 0.001).
CONCLUSION
Telephone tracing could be an effective tool for facilitating reengagement in pediatric HIV care. However, the difficulty of reaching patients is an obstacle that can undermine the program.
简介
在儿科艾滋病护理中，保持患者在治疗中并重新联系失访（LTFU）患者是优先考虑的挑战。我们旨在评估莫桑比克马希奇区医院的电话主动追踪计划是否有助于重新参与护理（RIC）。
方法
从 2016 年 7 月到 2017 年 3 月，对 LTFU 儿童进行电话追踪。本研究纳入了接受抗逆转录病毒治疗（ART）和预 ART 的患者。LTFU 定义为上次就诊后≥120 天未到诊所就诊。在尝试联系 3 个月后确定重新参与情况。
结果
共有 144 名最初被确定为 LTFU 的儿童进入主动追踪计划，其中 37 名通过电话追踪联系到。能够联系到的儿童的 RIC 率为 57%（95%CI，39-72%），而无法联系到的儿童的 RIC 率为 18%（95%CI，11-26%）（p=0.001）。
结论
电话追踪可能是促进儿科艾滋病护理重新参与的有效工具。然而，联系患者的困难是一个可能破坏该计划的障碍。
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