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首页> 外文期刊>World Journal of AIDS >Transfer out Patients Receiving Antiretroviral Therapy from Programme Clinic: A Potential “Leak” in the HIV Treatment Cascade
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Transfer out Patients Receiving Antiretroviral Therapy from Programme Clinic: A Potential “Leak” in the HIV Treatment Cascade

机译:从计划诊所转出接受抗逆转录病毒疗法治疗的患者:艾滋病治疗级联中的潜在“泄漏”

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Background: India has scaled up ART programme very rapidly. Though there are reports on retention of patients in the national programme, data on transfer out patients within the ART centers are scanty in India. Methods: This is a retrospective study of patients receiving antiretroviral treatment between January 2006 and July 2013. The patients who were transferred out from the ART center at National AIDS Research Institute in Pune were included in the study. The data on whether they reached the respective ART centers were collected either by making telephonic calls to the patients and/or to the respective ART centers. Results: Of the total 3015 patients ever started on treatment from the ART center, 158 (5.24%) were transferred out to other ART centers. Of these, 123 (77.8%) patients reached other centres and they were “transferred in”. However, 15 (9.5%) did not reach to respective ART centers and information could not be obtained for 20 (12.7%) transferred out patients. The analysis showed that those who were not living with their partners were 4.53 times more likely to not to reach the preferred ART centre after taking transfer [OR, 95% CI: (1.24 - 16.51), p = 0.022]. Conclusion: Our data suggest that significant number of transfer out patients is lost in HIV treatment cascade. Considering the total PLHIV on treatment in the country, this group adds significantly to the burden of lost to follow up patients. It is important to strengthen the system of tracking the transfer out patients in the programme which will help in patching an important leak in the cascade of HIV care.
机译:背景:印度已经非常迅速地扩大了ART计划。尽管有关于保留患者参与国家计划的报告,但印度ART中心内转出患者的数据很少。方法:这是一项对2006年1月至2013年7月间接受抗逆转录病毒治疗的患者的回顾性研究。该患者包括从浦那国家艾滋病研究所的ART中心转出的患者。通过与患者和/或各个ART中心进行电话通话,收集有关他们是否到达各个ART中心的数据。结果:在总共3015名从ART中心开始接受治疗的患者中,有158名(5.24%)被转移到其他ART中心。其中,有123名(77.8%)患者到达了其他中心,他们被“转移”了。但是,有15名(9.5%)未到达相应的ART中心,也无法获得20名(12.7%)转移患者的信息。分析表明,与伴侣不住的人接受转移后无法到达首选抗病毒治疗中心的可能性高4.53倍[OR,95%CI:(1.24-16.51),p = 0.022]。结论:我们的数据表明,在艾滋病毒治疗级联中损失了大量转出患者。考虑到该国接受治疗的艾滋病毒携带者总数,该群体大大增加了失去随访患者的负担。重要的是,要在计划中加强追踪转出患者的系统,这将有助于修补HIV护理流程中的重要漏洞。

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