Broisman L; International Conference on AIDS.
Int Conf AIDS. 1993 Jun 6-11; 9: 511 (abstract no. PO-B32-2254).
Dept. of Medicine, Hartford Hospital, Connecticut.
OBJECTIVE: To compare the delivery of care for HIV-infected patients in a general medicine clinic to a dedicated HIV clinic by a retrospective chart review. SETTING: Medical outpatient clinic of a large, university-affiliated, community hospital. PATIENTS: 201 patients followed since March, 1992 in a clinic dedicated to the care of HIV-infected patients exclusively compared to 78 patients followed in a general internal medicine clinic. MEASUREMENTS: The following rates were compared: utilization of pneumococcal polysaccharide and 1992 influenza vaccines, determination of tuberculin reactivity, use of antiviral therapy for CD4 count < or = 500 and use of Pneumocystis carinii prophylaxis for CD4 count < or = 200. All analyses were done on an intention to treat/test basis. RESULTS: HIV and Medical clinic patients were demographically comparable. Average CD4 count was 288.8 for HIV clinic and 423.3 for Medical clinic (p = 0.0001). TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSIONS: Currently recommended standards of care were better provided in a clinic dedicated to care of HIV-infected patients. Where such a clinic is not available, adoption and strict monitoring of written protocols may be an option.
Publication Types:
Keywords:
- AIDS Vaccines
- Acquired Immunodeficiency Syndrome
- Antiviral Agents
- CD4 Lymphocyte Count
- Delivery, Obstetric
- Family Practice
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- surgery
Other ID:
UI: 102205261
From Meeting Abstracts