Objective: To know assistance functions performed in
primary and hospital care for patients with HIV disease.
Design: Retrospective
Participants: 167 cases with HIV disease assigned to
three health ceners, with a mean age of 44.7 years, and
39.8% of women.
Measurements: We reviewed their primary and hospital
records for 4 years, and collected chronic diseases,
administered vaccines, consultation with the primary care
doctor (PCD) and content, Infectious Diseases Unit (IDU)
and hospital pharmacy service, and analytics tracking.
Results: Prevalence was 3.7/1000. 47.3% had chronic
psychiatric disorders, 31.1% used drugs or/and methadone,
35.9% had chronic viral hepatitis, and 35.3% other chronic
diseases.
In the four years a mean dose of influenza vaccine of 1.42
was administered (SD 1.85). Pneumococcal vaccine was
administered to 10.8% patients. PCD consultations
conducted at PCD were 25.8 (SD 20.5), 14.8 clinics (SD
15.0), mainly due to infectious processes and other acute
illnesses. The IDU made 14.4 (SD 6.8) and 8.9 analytical
queries (SD 4.0), and pharmacy, 33 (SD 16.6).
Two groups of patients:
- More attendance on IDU and less on pharmacy, fewer CD4, less undetectable viral load determinations and
more hospital admissions. - More pharmacy attendance and less on IDU, more
undetectable viral load determinations, older, better
vaccinated and less attendance of emergency
department, less psychiatric diseases, less use of
drugs/metadone and more chronical diseases.
Conclusions: There are many visits to the PCD, but not
related to HIV. There is low vaccination coverage. Could
be worth monitoring in primary care patients with stable
and good adherence to treatment.
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ISSN: 2378-7880
HIV Advanced and Research Development
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Article in Press
Managing HIV Disease in A Health Department
Francisca Rivera Casares*, Soraya González Caminero, Inmaculada Atienza, Nuria Campos, Jesús Navas
Corresponding Author: Francisca Rivera Casares
Received: Sep 17, 2014
Accepted: Nov 05, 2014
Published: Nov 07, 2014
Views: 3
DOI: 10.14437
Abstract
Francisca Rivera Casares (2014), Managing HIV Disease in A Health Department. HIV Adv Res Dev Open Access
1:104
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Copyright: © 2014 HARDOA. This is an open-access article distributed under the terms of the Creative Commons Attribution License, Version 3.0, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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