This work was partially financed by grants from the Fondo de Investigacion Sanitaria (07/0976, 08/1032, 08/1195, 08/1715 and 10/2635); Fondos Europeos para el Desarrollo Regional (FEDER); Fundación para la Investigación y Prevención del Sida en España (FIPSE 06/36572, 06/36610 and 36-0998-10); Ministerio de Ciencia e Innovación (SAF2008-02278); Programa de suport als Grups de Recerca AGAUR (2009 SGR 284, 959, 1061 and 1257); Red de Investigación en Sida (RIS, RD06/006/0022 and RD06/0006/1004); learn more and the Instituto de Salud Carlos
III, Ministerio de Sanidad y Consumo, Spain. XE is supported by a fellowship from the JdlC programme and grant JDCI20071020. CIBERdem and CIBERobn are ISCIII projects. The comments and critiques of the anonymous reviewers helped us to improve the manuscript and are greatly appreciated. “
“Antiretroviral therapy
(ART) medication prescribing errors in hospitalized patients still remain common. This study aimed to examine the initial prescribing of antiretroviral drug regimens for HIV clinic patients admitted Alpelisib to an urban academic teaching hospital. A retrospective chart review of all patients with a discharge diagnosis of HIV or AIDS was performed. Only patients actively managed by the hospital out-patient HIV clinic at the time of discharge were included in the final analysis. We compared the ART initially prescribed during hospitalization with the clinic records. Medication Fludarabine solubility dmso errors were separated by type and the prescriber’s area of specialty was noted. From 1 January 2009 to 31 December 2009, 90 admissions in 62 patients were included in the final analysis. In 47 of those admissions, the patient had an initial regimen considered to be incorrectly prescribed; in 17 of these 47 admissions, the patient was not prescribed any ART, and in the remainder the errors were related to drug omissions, incorrect frequency/dose, and prescription of the wrong drug. The majority of admissions were by an internal medicine or
non-infectious disease (ID) specialist. Average time to ART initiation was comparable among all prescribers. No statistically significant correlation was found between the number of admissions per patient or the prescriber’s area of specialty and the percentage of incorrect regimens ordered. Hospital HIV medication management still remains an area of focus because of the complexity of regimens, poor medication reconciliation and limited non-HIV/ID specialist knowledge. Highly active antiretroviral therapy (HAART) has significantly altered the natural progression of HIV infection and AIDS [1-3]. The appropriate usage and monitoring of these medications in recent years have led to dramatic improvements in the patients’ qualify of life.