A Retrospective Evaluation of Pretreatment and Follow-up Monitoring of HIV—infected Adult Patients in a Resource—Poor Setting.
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Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
International Association of Physicians in AIDS care, Chicago.
Abstract
The rapid scale-up of antiretroviral therapy (ART) is associated with the challenges of ensuring that HIV care delivered to clients is
of the highest quality. This study was designed to evaluate the pretreatment and 12 month follow-up monitoring of clinical and
laboratory profiles of HIV-infected patients at the adult HIV clinic of the University of Ilorin Teaching Hospital, in Nigeria. It was a
retrospective analysis of records of 440 adult patients who were on follow-up visits for 1 or more years. Two hundred two
(45.9%) were male and 238 (54.1%) were female. Weight was documented at baseline in 314 (71.4%) and at month 12 of
follow-up in 258 (58.6%). Baseline World Health Organization (WHO) clinical stage was documented in 269 (61.1%). Baseline
CD4 count, full blood count (FBC), creatinine (Cr), liver function tests (LFT), fasting blood sugar (FBS), and fasting serum lipids
(FSL) were documented in 243 (55.6%), 260 (59.1%), 143 (32.5%), 136 (30.9%), 268 (60.9%), and 161 (36.6%), respectively. At 12th
month of follow-up visit, the CD4 count, FBC, Cr, LFT, FBS, and FSL were documented in 121 (27.5%), 94 (21.4%), 59 (13.4%), 77
(17.5%), 179 (40.7%), and 95 (21.6%), respectively. This report shows that the pretreatment and the 12th-month follow-up mon itoring of HIV-infected adult patients in our center was less than optimal. We recommend periodic self-assessment by care pro viders to monitor compliance with standards.
Description
Keywords
HIV/AIDS, treatment monitoring, Nigeria
Citation
Fawibe AE, Olafimihan KO, Salami AK, Desalu OO, Odeigah LO. A Retrospective Evaluation of Pretreatment and Follow-Up Monitoring of HIV-Infected Adult Patients in a Resource-Poor Setting. Journal of the International Association of Physicians in AIDS Care. 2010;9(5):289-291. doi:10.1177/1545109710372672