An audit of HIV care in Surrey prisons
PHE ePoster Library. Chan S. Sep 12, 2019; 274442; 237
Dr. S.y. Chan
Dr. S.y. Chan
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Abstract
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Abstract Background
Previous studies have showed disparities in the care of people living with HIV (PLWH) in prisons. In 2011, an audit of HIV care in English prisons was carried out with PHE. That audit showed that viral load outcomes were poor, with 47% of patients entering prison having a VL <40copies/ml and 83.3% with VL <40 at 6 months. We carried out an audit of PLWH in five Surrey prisons over 18 months, prior to May 2019.
Method
A notes audit was carried out using Cellma (electronic patient record system) of all available records.
Results
Audit data was available on 43 patients (3 new diagnoses), 32 (74.4%) female, median age 42, 13 (30.2%) White British. Excluding new diagnoses, 39/40 (97.5%) had been prescribed ARVs before, only 26/40 (65.0%) had a VL <40 copies/ml compared to 97% in the general population. 16/43 (37.2%) had a CD4 count <350 mm3. All patients were offered ARVs in prison with 2/43 (4.6%) declining. Follow up data was available on 27 patients, of those 22/27 (81.5%) had VL <40 at 3-6 months. 23/43 (53.5%) would be considered to be complex patients in HARS reporting system, the most common reason being those under the care of a psychiatrist 12/43.
Conclusion
Although the number of patients in our audit was low, we captured data from a variety of different prisons across Surrey. Viral load outcomes are poor compared to the general population with more complexity, and similar to results of the previous national audit. External funding details No external funding
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