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目的探索医疗机构加大艾滋病病毒(HIV)阳性病例的发现,并减少阳性病例流失的有效方法。方法选定武汉3家大型综合性医院,培训、提高医生对HIV疑似病例的认知,主动提供HIV检测转介;引入社区组织进入医院,专门负责为医生转介的患者提供“一对一”匿名HIV检测、咨询服务,并配合医院疫情管理机构对初筛阳性者提供阳性确认、CD+4T淋巴细胞检测转介等服务。结果初步建立了综合性医院扩大HIV检测咨询综合服务模式;增加了HIV阳性病例的发现,在项目周期内(6个月)3家医院共检测2751名HIV疑似病例,检出HIV抗体阳性25例,全部转介至疾病预防控制部门完成阳性确证检测,无流失。结论在综合性医院开展扩大HIV检测咨询综合服务模式,能够有效扩大HIV阳性病例的发现,减少阳性病例的流失,有助于提高医疗机构参与艾滋病防治工作的社会责任感和临床医生参与艾滋病防治工作重要性的认识。
Objective To explore effective ways for medical institutions to increase the detection of HIV positive cases and reduce the loss of positive cases. Methods Three large general hospitals in Wuhan were selected to train doctors to improve their cognition of suspected HIV cases and take the initiative to provide HIV testing referrals. Community organizations were introduced into the hospital to provide “one-on-one ”Anonymous HIV testing, counseling services, and with the outbreak of hospital outbreak management agencies to provide positive screening positive screening, CD + 4T lymphocyte detection referral and other services. Results A general hospital was established to expand HIV testing and counseling comprehensive service model. HIV-positive cases were found. In the project cycle (6 months), 2,751 suspected HIV cases were detected in 3 hospitals and 25 cases were positive for HIV antibody , All referred to the disease prevention and control department to complete the positive confirmation test, no loss. Conclusions Expanding HIV testing and counseling services in general hospitals can effectively increase the number of HIV positive cases, reduce the loss of positive cases, help to increase the social responsibility of medical institutions participating in AIDS prevention and treatment and the clinicians’ participation in AIDS prevention and treatment Sexual understanding.