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Evaluation of the Management of Patients with Detectable Viral Load after the Implementation of Routine Viral Load Monitoring in an Urban HIV Clinic in Uganda
المؤلفون المشاركون
Mark, Nsumba Steven
Rachel, Musomba
Kaimal, Arvind
Frank, Mubiru
Harriet, Tibakabikoba
Isaac, Lwanga
Lamorde, Mohammed
Castelnuovo, Barbara
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-12-15
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Objective.
To describe the clinical decisions taken for patients failing on treatment and possible implementation leakages within the monitoring cascade at a large urban HIV Centre in Kampala, Uganda.
Methods.
As per internal clinic guidelines, VL results >1,000 copies/ml are flagged by a quality assurance officer and sent to the requesting clinician.
The clinician fills a “decision form” choosing: (1) refer for adherence counselling, (2) repeat VL after 3 months, and (3) switch to second line.
We performed data extraction on a random sample of 100 patients with VL test >1,000 copies/ml between January and August 2015.
For each patient, we described the action taken by the clinicians.
Results.
Of 6,438 patients with VL performed, 1,021 (16%) had >1,000 copies/ml.
Of the 100 (10.1%) clinical files sampled, 61% were female, median age was 39 years (IQR: 32–47), 81% were on 1st-line ART, 19% on 2nd-line, median CD4 count was 249 cells/µL (IQR: 145–390), median log10 VL 4.42 (IQR: 3.98–4.92).
Doctors’ decisions were; refer for adherence counseling 49%, repeat VL for 25%, and switch to second line for 24% patients.
Forty-one percent were not managed according to the guidelines.
Of these, 29 (70.7%) were still active in care, 7 were tracked [5 (12.2%) lost to program, 2 (4.9%) dead] and 5 patients were not tracked.
Conclusion.
Despite the implementation of internal systems to manage patients failing ART, we found substantial leakages in the monitoring “cascade”.
Additional measures and stronger clinical supervision are needed to make every test count, and to ensure appropriate management of patients failing on ART.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mark, Nsumba Steven& Rachel, Musomba& Kaimal, Arvind& Frank, Mubiru& Harriet, Tibakabikoba& Isaac, Lwanga…[et al.]. 2019. Evaluation of the Management of Patients with Detectable Viral Load after the Implementation of Routine Viral Load Monitoring in an Urban HIV Clinic in Uganda. AIDS Research and Treatment،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1122373
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mark, Nsumba Steven…[et al.]. Evaluation of the Management of Patients with Detectable Viral Load after the Implementation of Routine Viral Load Monitoring in an Urban HIV Clinic in Uganda. AIDS Research and Treatment No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1122373
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mark, Nsumba Steven& Rachel, Musomba& Kaimal, Arvind& Frank, Mubiru& Harriet, Tibakabikoba& Isaac, Lwanga…[et al.]. Evaluation of the Management of Patients with Detectable Viral Load after the Implementation of Routine Viral Load Monitoring in an Urban HIV Clinic in Uganda. AIDS Research and Treatment. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1122373
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1122373
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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