Marx R, Katz M H, Barreto A I, Park M S, Black T, Welch M
AIDS Office, Department of Public Health, San Francisco, California 94102-6033, USA.
J Gen Intern Med. 1995 Feb;10(2):92-5. doi: 10.1007/BF02600235.
The authors evaluated receipt of recommended medical care for 133 HIV-infected and 101 at-risk San Francisco public health clinic patients. Fewer than half the patients received syphilis and tuberculosis screening, hepatitis B immunity testing or vaccination, and tetanus boosters. The HIV-infected persons were significantly (p < or = 0.01) more likely than the at-risk persons to receive preventive care, except for interventions specific to women. More than 80% of the HIV-infected persons received CD4 testing, zidovudine and Pneumocystis carinii pneumonia prophylaxis, and pneumococcal vaccine. Only 40% of the at-risk persons reported having HIV-antibody testing recommended. Interventions to increase care delivery to HIV-infected and at-risk persons are needed.
作者评估了133名感染艾滋病毒的患者以及101名有感染风险的旧金山公共卫生诊所患者接受推荐医疗护理的情况。不到一半的患者接受了梅毒和结核病筛查、乙肝免疫检测或疫苗接种以及破伤风加强针注射。除针对女性的干预措施外,感染艾滋病毒的患者比有感染风险的患者接受预防性护理的可能性显著更高(p≤0.01)。超过80%的感染艾滋病毒的患者接受了CD4检测、齐多夫定和卡氏肺孢子虫肺炎预防治疗以及肺炎球菌疫苗接种。只有40%有感染风险的人报告称接受了艾滋病毒抗体检测推荐。需要采取干预措施,以增加对感染艾滋病毒和有感染风险的人的护理服务。