AEGiS-07IAC: IDU related HIV and prison medical care.

7th International AIDS Conference


Florence, Italy — June 16-21, 1991

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IDU related HIV and prison medical care.

Int Conf AIDS 1991 Jun 16-21; 7:446 (abstract no. W.D.4233)
Joliffe D, Brettle RP, Leen CL; Her Majesty's Prison, Saughton, Edinburgh

OBJECTIVE: Most interest has been on transmission of HIV in prison but a New York State study showed that inmates with PCP arrived at hospital in a worse state than community patients and fewer were on zidovudine treatment. A specific HIV medical service for the local prison was developed to encourage HIV positive individuals to access care, to reduce the number of patients "lost" to care whilst in prison and to offer inmates both standard and experimental treatment.

METHOD: In August 1989 a twice monthly HIV medical clinic was established in Edinburgh prison undertaken by Consultant medical staff (RPB and CLSL).

RESULTS: By December, 1990, 41 (9.8%) of 501 HIV patients had been seen via 117 attendances at 32 prison clinics. 30 (73%) of the patients had previously attended Hospital clinics but 11 (27%) were new, 28 (68%) were seen after discharge from prison, 6 (15%) were lost to follow up and 7 (17%) remain in prison. One (1%) patient was diagnosed with AIDS and 7 were admitted to hospital from prison. 4 (8%) of our AZT trial, 14 (9%) of our open label AZT and 7 (10.7%) of our 65 pentamidine prophylaxis patients were started in prison.

CONCLUSIONS: The Edinburgh system is expensive in consultant time but ensures the same availability of medical care. It has recruited new patients and ensured continuity of care for those already in care. Similar proportions of patients to regular clinics were lost to follow up, commenced new or standard treatments whilst in prison.

Keywords: AEGIS, Prisons, HIV Infections, Acquired Immunodeficiency Syndrome, Community Health Services, Ambulatory Care Facilities, Health Services Accessibility, Patient Discharge, Community Networks, New York, Human, transmission, ICA7KWDaegis,prisons,hivinfections,acquiredimmunodeficiencysyndrome,communityhealthservices,ambulatorycarefacilities,healthservicesaccessibility,patientdischarge,communitynetworks,newyork,human,transmission,ica7
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WD4233

Copyright © 1991 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.