监管场所HIV感染者管理模式探讨  

Models of Management for People with HIV Infection under Custody

作　　者：庄鸣华[1] 康来仪[1] 宁镇[1] 张贵利[1] 陈安琪[1] 潘启超[1] 包剑锋 

机构地区：[1]上海市疾病预防控制中心,200335 [2]上海市司法局

出　　处：《中国性病艾滋病防治》2001年第4期239-240,F003,共3页Chinese Journal of Std & Aids Prevention and Control

基　　金：卫生部艾滋病防治基金赞助

摘　　要：目的 提出监管场所中HIV 感染者管理模式。方法 通过深入监管场所召开座谈会和进行现场调查,了解目前监管场所HIV感染者管理现状与防治工作中存在的问题。结果 上海市监管场所中卫生防病工作主要包括培训、监测及日常生活管理,对医务人员、管教干警及生活管理人员,劳动犯及所有犯人进行下同内容的培训;对不同地区来源的羁押人员和特殊高危人群进行HIV监测;同时加强日常生活中存在有可疑传播途径的行为进行管理。对HIV感染者有三种管理模式:（1）集中管理模式。（2）隔离管理模式。（3）医学管理模式。结论 本研究认为:监管场所中HIV感染者管理应根据不同的情况而采取相应的管理模式,同时应加强培训、监测和日常管理工作,使监管场所不出现二代病人（感染者）。Objective To investigate models of managementa for people with HIV tinfection under custody. Methods To understand the current status and problems of management of HIV infection hrough discussions and meeting with staff in custfodial instityutions. Results The routine disease prevention activities included training of medical workers, polices and managerial personnel, prisoners and all those under custody; surveillance were provided for prisoners who came from different areas and who were at risk, and management for potential transmission routes was strengthened.There were three models of management of HIV infection in prisons:(1) centralized management, (2) isolation management and (3) medical management. Conclusion Relevant models of management should be adopted on the basis of different situation of both custodial institutions and prisoners themselves In the meantime, training, surveillance and routine management should be strengthened in order to avoid second generation of AIDS cases(HIV infection) .

关 键 词：HIV感染者 监管场所 集中管理 隔离管理 医学管理 

分 类 号：R512.910.1[医药卫生—内科学]