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Health Care Maintenance of HIV Infected Women at a Tertiary Care Center

Received: 1 October 2016     Accepted: 26 October 2016     Published: 19 November 2016
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Abstract

Introduction: HIV care should change from HIV focused approach to one which addresses chronic diseases, counseling, screening of non-AIDS related malignancies and immunization. Our objectives are to review standard of health maintenance services (screening, counselling and immunization) among HIV infected women and to find the prevalence of co-morbid conditions. Methodology: Retrospective cohort study to review HIV infected women in HIV clinic at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia (KFSH&RC) from January 2008 to December 2012. Results: Among 103 HIV infected women, dyslipidemia accounts for 31.07%, hypertension 16.5%, diabetes mellitus 14.6%, patients who have more than two co-morbid conditions were 24.5%. Vitamin D level was requested for 93.20%. HIV viral load wasn’t detectable in 63.11% and antiretroviral therapy was prescribed for 99.02%. The median latest CD4 lymphocyte count was 725 cells/ µmol. Tuberculin screening test (TST) was done for 5.88%. Screening mammography and Pap smear were done for 37.25%, 13.73% respectively. Colorectal cancer screening was not done in 96.11%. Bone densitometry screening was done for 36.36%. Mental status evaluation was performed for 63.73%. Influenza, pneumococcal, hepatitis B virus and Human Papilloma Virus (HPV) vaccination were received by 93.20%, 49.51%, 17.47% and 1.94% respectively. Counseling for condom use was provided to 64.79% and hormonal contraception/obstetrics referral were done for 49.02%. Conclusion: Our HIV clinic is providing a standard HIV focused patient care. Screening for tuberculosis, malignancies, counseling for hormonal contraception and immunization were deficient. There is high prevalence of cardiovascular risk factors among our patients. There is an urgent need to improve delivery of preventive health care to HIV-infected women.

Published in American Journal of Internal Medicine (Volume 4, Issue 6)
DOI 10.11648/j.ajim.20160406.12
Page(s) 101-106
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

HIV Infected Women, Health Maintenance, Preventive Care

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Cite This Article
  • APA Style

    Mohamed Ali Elkarouri, Muneerah Mohammed Albugami, Magid A. Halim Mohamed, Munirah Abdulrahman Bin Dahham, Yasmin Ahmed Al Twaijri. (2016). Health Care Maintenance of HIV Infected Women at a Tertiary Care Center. American Journal of Internal Medicine, 4(6), 101-106. https://doi.org/10.11648/j.ajim.20160406.12

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    ACS Style

    Mohamed Ali Elkarouri; Muneerah Mohammed Albugami; Magid A. Halim Mohamed; Munirah Abdulrahman Bin Dahham; Yasmin Ahmed Al Twaijri. Health Care Maintenance of HIV Infected Women at a Tertiary Care Center. Am. J. Intern. Med. 2016, 4(6), 101-106. doi: 10.11648/j.ajim.20160406.12

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    AMA Style

    Mohamed Ali Elkarouri, Muneerah Mohammed Albugami, Magid A. Halim Mohamed, Munirah Abdulrahman Bin Dahham, Yasmin Ahmed Al Twaijri. Health Care Maintenance of HIV Infected Women at a Tertiary Care Center. Am J Intern Med. 2016;4(6):101-106. doi: 10.11648/j.ajim.20160406.12

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  • @article{10.11648/j.ajim.20160406.12,
      author = {Mohamed Ali Elkarouri and Muneerah Mohammed Albugami and Magid A. Halim Mohamed and Munirah Abdulrahman Bin Dahham and Yasmin Ahmed Al Twaijri},
      title = {Health Care Maintenance of HIV Infected Women at a Tertiary Care Center},
      journal = {American Journal of Internal Medicine},
      volume = {4},
      number = {6},
      pages = {101-106},
      doi = {10.11648/j.ajim.20160406.12},
      url = {https://doi.org/10.11648/j.ajim.20160406.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20160406.12},
      abstract = {Introduction: HIV care should change from HIV focused approach to one which addresses chronic diseases, counseling, screening of non-AIDS related malignancies and immunization. Our objectives are to review standard of health maintenance services (screening, counselling and immunization) among HIV infected women and to find the prevalence of co-morbid conditions. Methodology: Retrospective cohort study to review HIV infected women in HIV clinic at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia (KFSH&RC) from January 2008 to December 2012. Results: Among 103 HIV infected women, dyslipidemia accounts for 31.07%, hypertension 16.5%, diabetes mellitus 14.6%, patients who have more than two co-morbid conditions were 24.5%. Vitamin D level was requested for 93.20%. HIV viral load wasn’t detectable in 63.11% and antiretroviral therapy was prescribed for 99.02%. The median latest CD4 lymphocyte count was 725 cells/ µmol. Tuberculin screening test (TST) was done for 5.88%. Screening mammography and Pap smear were done for 37.25%, 13.73% respectively. Colorectal cancer screening was not done in 96.11%. Bone densitometry screening was done for 36.36%. Mental status evaluation was performed for 63.73%. Influenza, pneumococcal, hepatitis B virus and Human Papilloma Virus (HPV) vaccination were received by 93.20%, 49.51%, 17.47% and 1.94% respectively. Counseling for condom use was provided to 64.79% and hormonal contraception/obstetrics referral were done for 49.02%. Conclusion: Our HIV clinic is providing a standard HIV focused patient care. Screening for tuberculosis, malignancies, counseling for hormonal contraception and immunization were deficient. There is high prevalence of cardiovascular risk factors among our patients. There is an urgent need to improve delivery of preventive health care to HIV-infected women.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Health Care Maintenance of HIV Infected Women at a Tertiary Care Center
    AU  - Mohamed Ali Elkarouri
    AU  - Muneerah Mohammed Albugami
    AU  - Magid A. Halim Mohamed
    AU  - Munirah Abdulrahman Bin Dahham
    AU  - Yasmin Ahmed Al Twaijri
    Y1  - 2016/11/19
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ajim.20160406.12
    DO  - 10.11648/j.ajim.20160406.12
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 101
    EP  - 106
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20160406.12
    AB  - Introduction: HIV care should change from HIV focused approach to one which addresses chronic diseases, counseling, screening of non-AIDS related malignancies and immunization. Our objectives are to review standard of health maintenance services (screening, counselling and immunization) among HIV infected women and to find the prevalence of co-morbid conditions. Methodology: Retrospective cohort study to review HIV infected women in HIV clinic at King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia (KFSH&RC) from January 2008 to December 2012. Results: Among 103 HIV infected women, dyslipidemia accounts for 31.07%, hypertension 16.5%, diabetes mellitus 14.6%, patients who have more than two co-morbid conditions were 24.5%. Vitamin D level was requested for 93.20%. HIV viral load wasn’t detectable in 63.11% and antiretroviral therapy was prescribed for 99.02%. The median latest CD4 lymphocyte count was 725 cells/ µmol. Tuberculin screening test (TST) was done for 5.88%. Screening mammography and Pap smear were done for 37.25%, 13.73% respectively. Colorectal cancer screening was not done in 96.11%. Bone densitometry screening was done for 36.36%. Mental status evaluation was performed for 63.73%. Influenza, pneumococcal, hepatitis B virus and Human Papilloma Virus (HPV) vaccination were received by 93.20%, 49.51%, 17.47% and 1.94% respectively. Counseling for condom use was provided to 64.79% and hormonal contraception/obstetrics referral were done for 49.02%. Conclusion: Our HIV clinic is providing a standard HIV focused patient care. Screening for tuberculosis, malignancies, counseling for hormonal contraception and immunization were deficient. There is high prevalence of cardiovascular risk factors among our patients. There is an urgent need to improve delivery of preventive health care to HIV-infected women.
    VL  - 4
    IS  - 6
    ER  - 

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Author Information
  • Department of Medicine, Section of Infectious Diseases, Security Forces Hospital, Riyadh, Saudi Arabia

  • Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

  • Department of Medicine, Section of Infectious Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

  • Department of Medicine, Section of Infectious Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

  • Research Centre, Department of Biostatistics, Epidemiology and Scientific Computing, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

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