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首页> 外文期刊>AIDS care. >Feasibility and acceptability of a specialist clinical service for HIV-infected mineworkers in South Africa.
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Feasibility and acceptability of a specialist clinical service for HIV-infected mineworkers in South Africa.

机译：为南非感染艾滋病毒的矿工提供专业临床服务的可行性和可接受性。

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Occupational settings offer an ideal opportunity to provide preventive health services for HIV-infected workers. A specialized clinic was established in a mining hospital in the Free State, South Africa, with the primary aim of delivering preventive therapy such as isoniazid to those at high risk of tuberculosis (individuals with HIV infection or silicosis), and cotrimoxazole to those at highest risk for opportunistic infections. The clinic design has taken regard of the importance of minimizing stigma, protecting confidentiality, monitoring potential side effects, supporting adherence and identification of prophylaxis failure. The clinic opened in April 1999 and, by August 2001, 1773 patients had attended at least once; 1762 are HIV-infected and 11 have silicosis. Of those with HIV infection, most were asymptomatic at their first visit. The clinic has achieved high acceptability: 99% of persons who were actively recruited to the service agreed to attend. The number still attending after a median of 13months from recruitment was 1,270 (72%) and only 48 (2.7%) have declined continued attendance. Most losses were due to termination of employment unrelated to a medical condition. The clinic has already been successfully replicated in two other regions of the mining health service in South Africa and provides a model for workplace HIV clinical services that could be used for implementation of further interventions such as antiretroviral therapy.
机译：职业环境提供了一个理想的机会，为感染HIV的工人提供预防保健服务。在南非自由州的一家矿业医院中建立了一个专门诊所，其主要目的是为诸如结核病高危人群（HIV感染或矽肺病的个体）提供异烟肼治疗，向高危人群提供cotrimoxazole等预防性治疗。机会感染的风险。诊所的设计考虑了最小化污名，保护机密性，监控潜在副作用，支持依从性和预防失败的重要性。该诊所于1999年4月开业，到2001年8月，至少有1773名患者就诊了一次。 1762年感染了艾滋病毒，其中11人患有矽肺病。在那些感染了艾滋病毒的人中，大多数在初诊时无症状。该诊所已获得高度认可：积极招募加入该服务的人员中有99％同意参加。招聘中位数13个月后仍参加的人数为1,270（72％），而只有48（2.7％）的继续参加人数下降。大多数损失是由于与医疗状况无关的解雇。该诊所已经在南非的采矿保健服务的其他两个地区成功复制，并为工作场所HIV临床服务提供了一个模型，可用于实施进一步的干预措施，例如抗逆转录病毒疗法。

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