In an HIV out-patient clinic, patients are managed by infectious disease/HIV specialists, who by virtue of their training and experience are well equipped to treat this specific disease. When emergent hospitalizations occur, Src inhibitor these patients are often under the initial care of prescribers who lack expertise to manage HIV disease during the acute period . Consequences can include
patients receiving unplanned treatment interruptions, wrongly prescribed regimens, or medications with major drug–drug interactions. Any of these errors could be detrimental in the long term, potentially altering patients’ future response to antiretroviral therapy (ART) [8, 9]. Previous studies have demonstrated variable rates of ART prescribing errors occurring in hospitalized HIV-infected patients, and the majority of these errors happened when initial medication orders were written [10, 11]. In institutions with a large HIV-infected patient
population, infectious disease (ID)/HIV specialists and clinical pharmacists can aid the hospital staff in continuing out-patient regimens and optimizing HIV medication management [12, 13]. However, in hospitals where such a service is not routinely established, the prescribing of patients’ ART regimens is greatly influenced by the physician’s medication knowledge, the accuracy of patient self-reporting, and communication with the patients’ out-patient prescriber [14, 15]. The presence of such barriers can lead to a variety of http://www.selleckchem.com/products/bmn-673.html drug-related errors in a significant number of patients during their hospital stay. In our study, initial prescribing of ART medications in HIV clinic patients admitted to an urban academic teaching hospital was evaluated retrospectively. All patient admissions with a discharge diagnosis of HIV/AIDS at Jersey City Medical Center from 1 January 2009
to 31 December 2009 were identified. Only patients whose ART was actively managed by the hospital out-patient HIV Mirabegron clinic were included in the study (those having a clinic visit within the previous 6 months from the discharge date). Admissions to the regular medical floor for a duration of < 2 days were considered equivalent to observation admissions and were therefore excluded. In addition, treatment interruptions were deemed acceptable for patients who underwent surgery and/or were unable to take medications orally were excluded from the study, in view of the likelihood of their critical state interfering with the administration of ART (acceptable treatment interruption) . A retrospective hospital chart review of those patients who met the inclusion criteria was completed to examine the initial prescribing of ART during the hospital stay with the prescribers subcategorized by their area of specialty.