Earl D T
Department of Family Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City.
J Tenn Med Assoc. 1993 May;86(5):191-4.
HIV infection is a growing problem for primary care physicians in that the coming of adolescents to clinics for primary care may not clearly demark members of a high-risk group. Therefore, clinicians need to be familiar with the risk categories and question the patients as to high-risk activities in order to determine their risk for HIV infection. Adolescents may be at a higher risk for HIV, but may not bear manifestations of infection with HIV infection until later. Therefore, it would behoove clinicians to establish the serologic status of adolescents at risk in a timely fashion in order to offer counseling and manage the protean manifestations of HIV-related disease that may occur. Counseling must also emphasize the importance of curtailing the high-risk activity so as to curb the spread of the infection.
对于初级保健医生而言，艾滋病毒感染问题日益严重，因为前来诊所接受初级保健的青少年可能无法明确界定为高危人群。因此，临床医生需要熟悉风险类别，并询问患者的高危行为，以确定其感染艾滋病毒的风险。青少年感染艾滋病毒的风险可能更高，但在感染艾滋病毒后可能要到后期才会出现感染症状。因此，临床医生应及时确定有风险的青少年的血清学状况，以便提供咨询并处理可能出现的艾滋病毒相关疾病的各种表现。咨询还必须强调减少高危行为的重要性，以遏制感染的传播。
