以网络为基础的检测服务能产生超越艾滋病毒检测的影响吗?

IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES
Sexual health Pub Date : 2025-04-01 DOI:10.1071/SH24027
Aliza Monroe-Wise, Magdalena Barr-DiChiara, Antons Mozalevskis, Busisiwe Msimanga, Maeve Brito de Mello, Kafui Senya, Niklas Luhmann, Cheryl Case Johnson, Rachel Baggaley
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引用次数: 0

摘要

为实现控制艾滋病毒、乙型肝炎、丙型肝炎和性传播感染的宏伟全球目标,需要新的战略和创新。基于网络的检测(NBT)服务,包括伴侣服务、社会网络检测以及家庭和家庭检测,是一组异质性的实践,在这些实践中,医疗保健提供者支持性传播感染或血源性感染的客户向性伴侣或注射伴侣、亲生子女或家庭成员或接触者提供检测和/或其他服务。尽管有大量证据支持NBT服务在识别、诊断和联系护理伙伴和艾滋病毒感染者的其他接触者方面的有效性,但关于病毒性肝炎或性传播感染的NBT或为合作伙伴提供预防服务的直接研究较少。需要进行研究,以更好地了解如何最好地将NBT用于多种感染、特定人群并实现最大影响。整合NBT服务提供以实现对多种感染的检测、治疗和/或预防可能是有效的,这可能包括针对不同人群的双重或多重检测。伴侣的自我测试或自我抽样可能克服测试的障碍。为检测结果呈阴性的合作伙伴提供预防选择,包括在适当情况下接种PrEP或乙型肝炎疫苗,可能是扩大多种病原体预防工作的有力途径。NBT是确定需要干预措施的人的重要工具;更好地了解如何扩大和整合这一工具可能有助于在全球实现跨领域的卫生成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can network-based testing services have an impact beyond testing for HIV?

New strategies and innovations are needed to achieve ambitious global goals for the control of HIV, hepatitis B, hepatitis C and STIs. Network-based testing (NBT) services, including partner services, social network testing, and family and household testing, are a heterogeneous group of practices in which healthcare providers support clients with STIs or bloodborne infections to offer testing and/or other services to sexual or injecting partners, biological children, or household members or contacts. Although significant evidence supports the efficacy of NBT services to identify, diagnose and link to care partners and other contacts of people with HIV, there has been less direct research about NBT for viral hepatitis or STIs, or for providing prevention services to partners. Research is needed to better understand how NBT can best be utilised for multiple infections, specific populations and to achieve maximal impact. Integrating NBT service delivery to achieve testing, treatment and/or prevention for multiple infections may be efficient, and this might include dual or multiplex testing for different populations. Self-testing or self-sampling for partners may overcome barriers to testing. Providing partners who test negative with prevention options, including PrEP or hepatitis B vaccination where appropriate, might be a powerful way to expand prevention efforts for multiple pathogens. NBT is an important tool for identifying those in need of interventions; a better understanding of how to expand and integrate this tool may help achieve cross-cutting health outcomes globally.

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来源期刊
Sexual health
Sexual health 医学-传染病学
CiteScore
2.30
自引率
12.50%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.
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