@Article {Montaner2318,作者= {Montaner,JS和Phillips,P和Zala,C和Craib,KJ和O {\ TextQuoteright} Shaughnessy,MV和Schechter,Mt},title = {相关的呼吸疾病},音量= {9},number = {11},页面= {2318--2322},年= {1996},Publisher = {欧洲呼吸社会},摘要= {在本研究中,我们表征了模式188bet官网地址在同性恋男性队列中使用预防疗法对特定呼吸道疾病的使用,并评估了目标反馈对这些疾病指南的遵守水平的影响。所有人类免疫缺陷病毒血清神经(HIV-)(n = 169)并获得了免疫缺陷综合征(AIDS) - 无人免疫缺陷病毒血清阳性(HIV+)(n = 154)的参与者,他们在1989年10月和1989年10月之间完成四次访问确定了1993年12月。有关使用纯化蛋白衍生物(PPD)(结核蛋白)测试,肺炎球菌疫苗接种史,流感疫苗的史,使用肺炎孢子虫(PCP)预防,症状,症状和CD4计数的信息。1992年,为参与的医生提供了有关遵守当代预防呼吸道疾病指南的总体水平的反馈。作为本练习的一部分,对准则进行了分发和讨论。在研究期间,接受PPD测试的HIV+患者百分比从43%增加到65%(P = 0.001)。HIV+比HIV-患者进行了PPD检测明显更多(P \ <0.001)。总共144名(94 \%)HIV+男性至少接受了一种流感疫苗接种,而60(35 \%)HIV-MEN(P \ <0.001)。 Utilization of influenza vaccination in the HIV+ group significantly increased from 78\% in 1992 to 92\% in 1993 (p\<0.001). A total of 104 (68\%) HIV+ men received pneumococcal vaccination compared to 2 (1\%) HIV- men (p\<0.001). Among HIV+ individuals whose absolute CD4+ count was less than 200 cells x mm(-3), the percentage of men who received primary PCP prophylaxis was 0, 86, 72 and 88 for the years 1990-1993, respectively. Among HIV+ patients whose only eligibility criterion for PCP prophylaxis was a CD4+ percentage \<20\%, compliance was 55, 30, 37 and 50\% for the years 1990-1993, respectively. Among HIV+ subjects, increases in the compliance level were noted for all preventive therapies after targeted feedback was provided during the last quarter of 1992. However, only utilization of influenza vaccine exceeded a 90\% compliance in 1993. These data demonstrate that a suboptimal level of compliance with current guidelines for the prevention of respiratory disease among human immunodeficiency virus-infected individuals can be significantly improved using targeted feedback. Although it is likely that similar effects could be achieved in other populations or the community at large, this remains to be demonstrated.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/9/11/2318}, eprint = {//www.qdcxjkg.com/content/9/11/2318.full.pdf}, journal = {European Respiratory Journal} }