Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections

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dc.contributor.advisorGwyther, Lizen_ZA
dc.contributor.authorEdwin, Christinaen_ZA
dc.date.accessioned2014-12-29T04:58:54Z
dc.date.available2014-12-29T04:58:54Z
dc.date.issued2010en_ZA
dc.descriptionIncludes bibliographical references (leaves 60-64).en_ZA
dc.description.abstractAlthough national guidelines in South Africa recommend starting antiretroviral therapy (ART) mainly to outpatients with WHO stage four disease and/or CD4 count of 200 cells/uL, immediate ART initiation after opportunistic infection (OI) treatment in the inpatient wards at several international sites has been shown to reduce the adverse outcomes of AIDS progression and death. Current South African policies of discharging patients after hospital admission for management of OIs for follow up and initiation of ART at ARV clinics result in poor patient outcomes as described by reports from South Africa. In contrast, this study demonstrates the feasibility and effectiveness, under routine programme conditions, of a rapid, supervised inpatient ART initiation. Further research is needed to reduce the high rate of early mortality among patients with advanced HIV disease.en_ZA
dc.identifier.apacitationEdwin, C. (2010). <i>Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/10468en_ZA
dc.identifier.chicagocitationEdwin, Christina. <i>"Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2010. http://hdl.handle.net/11427/10468en_ZA
dc.identifier.citationEdwin, C. 2010. Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Edwin, Christina AB - Although national guidelines in South Africa recommend starting antiretroviral therapy (ART) mainly to outpatients with WHO stage four disease and/or CD4 count of 200 cells/uL, immediate ART initiation after opportunistic infection (OI) treatment in the inpatient wards at several international sites has been shown to reduce the adverse outcomes of AIDS progression and death. Current South African policies of discharging patients after hospital admission for management of OIs for follow up and initiation of ART at ARV clinics result in poor patient outcomes as described by reports from South Africa. In contrast, this study demonstrates the feasibility and effectiveness, under routine programme conditions, of a rapid, supervised inpatient ART initiation. Further research is needed to reduce the high rate of early mortality among patients with advanced HIV disease. DA - 2010 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections TI - Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections UR - http://hdl.handle.net/11427/10468 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/10468
dc.identifier.vancouvercitationEdwin C. Retrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infections. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2010 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/10468en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPalliative Medicineen_ZA
dc.titleRetrospective analysis of outcomes in the programme of fast-tracking of antiretroviral therapy for patients admitted to a palliative care centre after diagnosis of opportunistic infectionsen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPhilen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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