Receipt of recommended medical care in HIV-infected and at-risk persons |
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Authors: | Dr. Rani Marx PhD MPH Mitchell H. Katz MD Alba I. Barreto Min-Sun Park MA Teresa Black MD Melissa Welch MD |
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Affiliation: | 1. AIDS Office, Department of Public Health, San Francisco, 25 Van Ness Avenue, Suite 500, 94102-6033, San Francisco, CA 2. the Community Public Health Services, Department of Public Health, San Francisco, California
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Abstract: | The authors evaluated receipt of recommended medical care for 133 HIV-infected and 101 at-risk San Francisco public health clinic patients. Fewer than half the patients received syphilis and tuberculosis screening, hepatitis B immunity testing or vaccination, and tetanus boosters. The HIV-infected persons were significantly (p≤0.01) more likely than the at-risk persons to receive preventive care, except for interventions specific to women. More than 80% of the HIV-infected persons received CD4 testing, zidovudine andPneumocystis carinii pneumonia prophylaxis, and pneumococcal vaccine. Only 40% of the at-risk persons reported having HIV-antibody testing recommended. Interventions to increase care delivery to HIV-infected and at-risk persons are needed. |
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