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2018年巴西萨尔瓦多急诊科的HIV暴露后预防处方及在专科服务机构进行后续随访:一项横断面研究

Prescription of HIV Post-Exposure Prophylaxis in emergency care units and return for follow-up appointments in specialized services in Salvador, Brazil, 2018: a cross-sectional study.

作者信息

Silva Flávia Carneiro da, Magno Laio, Santos Carlos Antônio de Souza Teles

机构信息

Prefeitura Municipal de Salvador, Secretaria Municipal de Saúde, Salvador, BA, Brazil.

Universidade do Estado da Bahia, Departamento de Ciências da Vida, Salvador, BA, Brazil.

出版信息

Epidemiol Serv Saude. 2024 Jul 15;33:e2023642. doi: 10.1590/S2237-96222024V33E2023642.en. eCollection 2024.

Abstract

OBJECTIVE

To analyze HIV Post-Exposure Prophylaxis (PEP) prescription and return for follow-up appointments.

METHODS

This was a descriptive cross-sectional study using data on people who sought PEP in emergency care units (UPAs) and specialized medical services in Salvador, BA, Brazil, between January-December/2018.

RESULTS

Of the 1,525 people who sought PEP at UPAs, 1,273 (83.5%) met PEP eligibility criteria, while 252 (16.5%) did not; of the eligible group, 1,166 (91.6%) had antiretrovirals prescribed, while 107 (8.4%) eligible people did not; of the total number of people with PEP prescriptions, only 226 (19.4%) returned for the first follow-up appointment, 115 (9.9%) for the second, and 33 (2.8%) for the third in order to complete the protocol.

CONCLUSION

We found a significant proportion of eligible users who did not have PEP prescribed at UPAs and a significant loss of return for specialized service follow-up appointments.

摘要

目的

分析艾滋病病毒暴露后预防(PEP)的处方开具情况以及复诊预约的回访情况。

方法

这是一项描述性横断面研究,使用了2018年1月至12月期间在巴西巴伊亚州萨尔瓦多的急诊科(UPA)和专业医疗服务机构寻求PEP的人员数据。

结果

在UPA寻求PEP的1525人中,1273人(83.5%)符合PEP资格标准,252人(16.5%)不符合;在符合资格的人群中,1166人(91.6%)开具了抗逆转录病毒药物处方,107名(8.4%)符合资格的人未开具;在开具PEP处方的总人数中,只有226人(19.4%)返回进行首次复诊预约,115人(9.9%)进行第二次复诊,33人(2.8%)进行第三次复诊以完成方案。

结论

我们发现有相当比例符合资格的使用者在UPA未开具PEP处方,且专业服务复诊预约的回访流失率很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6125/11251451/faae1b080564/2237-9622-ress-33-e2023642-gf1.jpg

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