An audit on virological efficacy of anti-retroviral therapy in a specialist infectious disease clinic.
We have assessed the efficacy of anti retroviral therapy (ART) using undetectable viral load (VL) (/ml) as a marker of virological success, in patients who have Human Immunodeficiency Virus (HIV) attending the Department of Infectious Disease. A cross-sectional review of patients' case notes was used to obtain their demographics and treatment details. 79% (253) of the hospital case notes of clinic population was available for analysis, which represents 90% of those receiving ART in the clinic. 166/253 of the cohort were receiving treatment at the time of this study and 95% (157/166) of these were on treatment for greater than 6 months. The total virological success rate is 93%, which is comparable to other centres and are as good as those from published clinical trials. 56% of those on therapy who have virological failure were Intravenous Drug Users (IVDUs). Case by case investigation for those with treatment failure is warranted.
CommentsThe original article is available at www.imj.ie
Published CitationReyad A, Waldron C, Canning R, O'Shea D, Coakley P, McConkey S. An audit on virological efficacy of anti-retroviral therapy in a specialist infectious disease clinic. Irish Medical Journal. 2009;102(6):186-8.
- Beaumont Hospital
- International Health and Tropical Medicine
- Undergraduate Research