Mobilizing for quality: the case of an HIV/AIDS treatment center in

2007 ◽  
pp. 171-192
Keyword(s):  
Treatment Center ◽  
Hiv Aids

scholarly journals Definition of a novel vaccination pathway in PLWHA: experience of a Southern University Hospital

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S D'Amato ◽  
G F Pellicanò ◽  
C Genovese ◽  
F Mazzitelli ◽  
G Nunnari ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Vaccination Coverage ◽  
Clinical Pathway ◽  
Drop Out ◽  
University Hospital ◽  
Treatment Center ◽  
People Living With Hiv ◽  
Vaccination Rates ◽  
Operating Unit ◽  
Hiv Aids

Abstract Background At the end of 2018 across the globe there are ∼37.9 million people with HIV/AIDS also thanks to the use of HAART which led to an increase in life expectancy. The Italy Immunization Plan 2017-19 recommend vaccines to these patients but a protocol still isn't present. Moreover, despite the availability of effective vaccines, coverage remained very low for many reasons including problems with privacy. The objectives of this study were a) the appliance of a shared clinical pathway between the “Immunization Center of Hospital Hygiene Operating Unit” and the “HIV/AIDS Disease Prevention, Diagnosis and Treatment Center of Infectious Diseases Operating Unit” b) the increase in vaccination coverage and the evaluation of side effects. Methods A prospective study was conducted from Oct 2019 to Feb 2020 at the G. Martino University Hospital of Messina. In particular, of the 138 patients followed by the Infectious Diseases OU, after evaluation of their immune status, 62% were enrolled in this study. Following the acquisition of informed consent, we collected socio-anagraphical data and we started the free administration of vaccines by providing an hoc calendar in the Immunization Center. Statistical analysis was performed with R software. Results The sample was represented by 86 patients (74% males and 26% females, 21% foreigners and 79% Italian, mean age=40±13.6 SD). We didn't observe drop out and no differences were observed for local/systemic AEs generally reported. We obtained an increase of vaccination coverage with a total of 74 doses administered for flu (+164%) and 240 for other vaccines (+172%). In particular, we immunized a total of 74% of patients for HPV (2% in 2018), 42% for HAV (28% in 2018), 37% for HBV (28% in 2018), 58% for pneumococcal (21% in 2018), 54% for meningococcal ACWY and B (0% in 2018). Conclusions The undertook clinical pathway showed the relevance of specific management of these patients and the need to increase the vaccination offer. Key messages The immunization in people living with HIV is priority to reduce the risk of infectious disease. It’s important to implement a shared clinical pathway to increase vaccination rates of these patients. The application of the protocol had an high impact in patients' adhesion to vaccination also thanks to the chance of accessing to the service in a comfortable setting and suitable to protect privacy.

Exodontia related complications at a Japanese hospital with a major HIV/AIDS treatment center

2011 ◽  
Vol 40 (10) ◽  
pp. 1148
Author(s):  
Y. Nakagawa ◽  
F. Kanaya ◽  
A. Tsuno ◽  
Y. Maruoka ◽  
Y. Kikuchi ◽  
...  
Keyword(s):  
Treatment Center ◽  
Hiv Aids

scholarly journals Retention in HIV/AIDS Management Services: is it Really Poor? The Case of Yaounde Central Hospital in Cameroon

2020 ◽  
Vol 9 (2) ◽  
pp. 207-212
Author(s):  
Charles Kouanfack ◽  
Fala Bede ◽  
Claude Ngwayu Nkfusai ◽  
Emerson Wepngong ◽  
Mbinkar Adeline Venyuy ◽  
...  
Keyword(s):  
Global Health ◽  
Health Facility ◽  
Hiv Care ◽  
Treatment Center ◽  
Hiv Positive ◽  
Central Hospital ◽  
Creative Commons ◽  
Care And Treatment ◽  
Lost To Follow Up ◽  
Hiv Aids

Background: After consecutively defaulting on their appointments for three months, many HIV positive patients are often reported to have defaulted on their treatment, become lost to follow-up (LTFU), or no longer in care. We sought to determine if retention in HIV/AIDS care and treatment is really poor. Methods: Outcomes of patients with missed clinic appointments and reasons for missing appointments were studied. We sampled adult HIV positive patients on antiretroviral therapy (ART) who by clinic had missed their clinic appointments by more than four weeks between 1997 and 2019 at the HIV Care and Treatment Center (CTC) (Day Hospital) of the Yaoundé Central Hospital. We assumed that patients who missed their clinic appointment also missed some doses of their ART medications. Patients considered LTFU and those who had defaulted for two months were traced by telephone calls and home visits. Reasons for ART discontinuation were recorded for those who stopped or interrupted ART. Results: Of the 1139 patients who were either LTFU or who had defaulted for two months, 247/1139 (22 %) could not be traced. Out of the successfully traced patients, 50 (4%) had died and 798/1139 (70%) were alive and 310/1139 (27%) were on ART of which 35/1139 (3%) had developed informal ways of obtaining ART through clinic personnel. A good number were brought back to and reinitiated on ART after tracking (540/1139 or 47%). Of those known not to be on treatment(ART), 27/1139 (2%) had deliberately stopped ART and 63/1139 (6%) promised to return and took an appointment with CTC pyscho-social workers. Major reasons shared for missing clinic appointments were travel out of city (39%), distance from health facility, and financial cost for getting to health facility. Conclusion and Global Health Implications: Despite clinic data showing many patients had missed monthly appointments or were LTFU, we saw that a sizeable amount of such patients were actually in care and on ART. The above findings lead to the suggestion that clinic data used in program performance   Copyright © 2020 Kouanfack et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Comparison of Treatment of HIV Patients in Naturopathic and Biomedical Settings

2008 ◽  
Vol 13 (3) ◽  
pp. 182-197 ◽  
Author(s):  
Hans Baer
Keyword(s):  
Treatment Center ◽  
Integrative Approach ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Hiv Patients ◽  
Aids Patients ◽  
Western Us ◽  
Biomedical Treatment ◽  
Physician Patient ◽  
Hiv Aids

Patients diagnosed with HIV/AIDS have turned to a variety of complementary and alternative medicine (CAM) in seeking relief from their illnesses and a better quality of life. Many of them have adopted an integrative approach in which they simultaneously use biomedicine and CAM. Naturopathic physicians, are one category of CAM practitioners upon which some HIV/AIDS patients rely. This article describes naturopathic philosophy and therapeutics; examines naturopathic medical treatment of HIV/AIDS patients in two CAM treatment centers in a Western US metropolitan area; describes treatment of HIV/AIDS patients in a biomedical treatment center frequented by many of the HIV patients who have opted for an integrative approach; and compares these approaches in terms of models of practitioner-patient relationship. I argue that the naturopathic physician-patient relationship constitutes a form of social support that generally cannot be facilitated in the biomedical physician-patient relationship due to time, and perhaps philosophical, constraints.

Pediatric HIV/AIDS: Issues and Strategies for Intervention

ASHA Leader ◽  
2002 ◽  
Vol 7 (4) ◽  
pp. 10-21 ◽  
Author(s):  
Elise Davis-McFarland
Keyword(s):  
Pediatric Hiv ◽  
Hiv Aids

CDC Study: Most New Cases of HIV, AIDS in Women Occur in Blacks

Ob Gyn News ◽  
2005 ◽  
Vol 40 (6) ◽  
pp. 13
Author(s):  
Sharon Worcester
Keyword(s):  
Hiv Aids
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