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NEJM:HIV通用检测及治疗方法可降低30%的感染风险

2019-07-18 MedSci MedSci原创

研究发现,根据当地指导方针,结合预防干预和ART治疗,HIV感染的发生率可降低30%

通用检测和治疗策略是降低人类免疫缺陷病毒(HIV)感染率的一种潜在方法,但目前尚无成熟的通用方法。

在2013-18年进行的HPTN 071(PopART)随机试验中,研究人员随机将赞比亚和南非的21个社区(总人口约100万)分配为A组(综合预防干预与普遍抗逆转录病毒疗法[ART])、B组(根据2016年以来普遍适用的地方指南提供的ART预防干预)或C组(标准护理)。预防干预措施包括社区工作人员提供的基于家庭的艾滋病毒检测、支持与艾滋病护理和ART有关的联系。研究的主要结果是12-36个月之间的艾滋病毒发病率。

48301名参与者。各组的基线HIV感染率为21%-22%。在12-36个月之间,在39702随访年间共观察到553例新的HIV感染(1.4/100人-年;女性,1.7;男性,0.8)。与C组相比,A组调整后的比率为0.93,B组为0.70。A组24个月的HIV阳性患者占71.9%,B组为67.5%,C组为60.2。36个月接受ART治疗的社区HIV阳性成人百分比为81%,B组为80%。

研究发现,根据当地指导方针,结合预防干预和ART治疗,HIV感染的发生率可降低30%。

原始出处:

Richard J. Hayes et al. Effect of Universal Testing and Treatment on HIV Incidence - HPTN 071 (PopART). N Engl J Med, July 18, 2019.

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    2019-07-18 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

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