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首页> 外文期刊>AIDS care. >Late diagnosis of HIV infection among individuals with low, unrecognised or unacknowledged risks in England, Wales and Northern Ireland.
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Late diagnosis of HIV infection among individuals with low, unrecognised or unacknowledged risks in England, Wales and Northern Ireland.

机译:在英格兰,威尔士和北爱尔兰,风险较低,未被认可或未被认可的个体中,艾滋病毒感染的诊断较晚。

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A small number of UK nationals who have a low, unrecognised or unacknowledged risk for HIV present late in the course of HIV infection; often after frequent attendances to primary care physicians. Information from in-depth interviews with individuals diagnosed with HIV in England, Wales and Northern Ireland (EW&NI) was analysed. Those diagnosed because of HIV-related symptoms (late diagnoses) were compared with those diagnosed for other reasons. Of the 286 individuals interviewed, 157 (55%) had HIV-related symptoms at the time of diagnosis, and 129 were tested for other reasons. A greater proportion of those diagnosed late were male and older. Of the 157 late diagnoses, 77 were considered to have acquired HIV heterosexually in the UK, 19 heterosexually abroad, 16 through 'high-risk' behaviours, 15 heterosexually by a 'high-risk' partner, four through blood transfusion and the remainder through an unusual or unknown route. A significantly higher proportion of those diagnosed late had had a long-standingrelationship. None had been informed by a current or ex-partner of their HIV status. Primary care physicians should consider HIV as a possibility when patients without an apparent risk for HIV-infection present with symptoms indicative of possible immune suppression. Sensitive partner notification practices that enable a greater number of individuals to inform their partners should be explored.
机译:少数英国国民,在艾滋病毒感染过程中晚期存在低,未被认可或未被认可的艾滋病毒风险;经常在基层医疗医生经常出诊之后。分析了与英格兰,威尔士和北爱尔兰(EW&NI)的被诊断患有HIV的个体进行的深入访谈所获得的信息。将那些因艾滋病毒相关症状而诊断的患者(晚期诊断)与因其他原因而诊断的患者进行比较。在接受采访的286位个体中,有157位(55%)在诊断时出现了与HIV相关的症状,而由于其他原因对129位进行了测试。被诊断为晚期的人中,男性和年长者比例更高。在157个晚期诊断中,有77个在英国被认为是通过异性恋感染的艾滋病毒,在国外是19个,通过“高危”行为感染了16个异性恋,通过“高危”伴侣进行了15次异性恋,通过输血进行了4个,其余通过不寻常或未知的路线。那些被诊断为晚期的人中,有着长期关系的人比例更高。现任或前任伴侣均未告知其艾滋病毒状况。当没有明显HIV感染风险的患者出现表明可能受到免疫抑制的症状时,初级保健医生应将HIV视为可能。应该探索使更多的人能够通知其伴侣的敏感的伴侣通知做法。

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