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- Title
Telemedicina, centros penitenciarios y enfermedad por VIH.
- Authors
Blanco Portillo, Antonio; García-Cervigón, Gregorio Palacios; Pérez Figueras, Manuel; Navarro Jiménez, Gema; Jiménez Galán, Germán; Velasco Arribas, María; Moreno Núñez, Leonor; Hervás Gómez, Rafael; Segarral, Oriol Martín; Guijarro Herraiz, Carlos; García Berriguete, Rosa; Losa García, Juan E.
- Abstract
Objectives. Communicate the activity of telemedicine, from its opening, between a hospital consultation of infectious diseases and a penitentiary center. Material and methods. Descriptive study of the teleconsultation of infectious diseases of the Alcorcón Foundation University Hospital with the Navalcarnero penitentiary center from 2013 to 2017, which is carried out by videoconference. The reason and number of consultations, diagnosis of HIV, antiretroviral treatment (ART), immunovirological situation, diagnosis of hepatitis C virus (HCV= and intervention performed by the infectious expert were analyzed. Results. A total of 75 patients were evaluated in a total of 168 consultations (in the first year 11 consultations and in the fifth year 62). The index of successive / new consultations was 1.24 and 85% of the patients required less than 1 year of follow-up. 84% of patients did not move to the hospital. 99% of patients accepted this modality. 96% were HIV positive, 94% of them took ART and 85% had undetectable viral load with 532 CD4/mL of medium. 90% had positive serology for HCV. 72% of the consultations were for the assessment of HCV treatment, which was sofosbuvir/ledipasvir by 63%. 40% changed their ART (70% to avoid interactions). Conclusion. Most of the evaluated patients have HIV infection. This type of consultation has a growing demand, is efficient (avoids transfers and is decisive) and has high acceptance. The most frequent reason for consultation was the treatment of HCV and more than a third of patients required ART change.
- Publication
Revista Española de Quimioterapia, 2019, Vol 32, Issue 6, p539
- ISSN
0214-3429
- Publication type
Article