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Electronic Human Immunodeficiency Virus (HIV) Clinical Reminder System Improves Adherence to Practice Guidelines among the University of Washington HIV Study Cohort.
- Source :
- Clinical Infectious Diseases; 3/15/2003, Vol. 36 Issue 6, p803, 9p
- Publication Year :
- 2003
-
Abstract
- We conducted a prospective study of an electronic clinical reminder system in an academic medical center-based human immunodeficiency virus (HIV) specialty clinic. Published performance indicators were used to examine adherence to HIV practice guidelines before and after its implementation for 1204 patients. More than 90% of patients received CD4 cell count and HIV type 1 (HIV-1) RNA level monitoring every 3-6 months during both time periods, and ∼80% of patients with a CD4 cell count nadir of < 350 cells/mm[SUP3] received highly active antiretroviral therapy. Patients were significantly more likely to receive prophylaxis against Mycobacterium avium complex (hazard ratio, 3.84; 95% confidence interval [CI], 1.58-9.31; P =.003), to undergo annual cervical carcinoma screening (OR, 2.09; 95% CI, 1.04-4.16; P =.04), and to undergo serological screening for Toxoplasma gondii (odds ratio [OR], 1.86; 95% CI, 1.05-3.27; P = .03) and syphilis infection (OR, 3.71; 95% CI, 2.37-5.81; P < .0001). HIV clinical reminders delivered at the time that HIV care is provided were associated with more timely initiation of recommended practices. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL research
HIV
MYCOBACTERIUM avium
RETROVIRUS disease treatment
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 10584838
- Volume :
- 36
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Clinical Infectious Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 9424127
- Full Text :
- https://doi.org/10.1086/368085