ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
HIV viral load and CD4 count for people retained in care to people with unknown outcomes
James McMahon presented a study comparing HIV load and CD4 count for people in regular care versus those with unknown outcomes.
He estimated the study covered 80% of HIV positive patients in Victoria over 3 years in 4 sites.
It involved clinics checked their records to look for transfer of care, deaths and returnees to care.
Patients who did not return for at least one more VL within a 9 month period were then contacted.
Retention rates for patients were very good at 92%.
The study found that those who had unknown outcomes,transfered their care/returned to care or who had irregular VL testing had higher VL and were at risk of worse clinical outcomes and onward transmission.
They found that as a result of doing the study there were improvement in clinic systems to improve retention and keep patients engaged in care This was an unexpected positive outcome from this study.