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Thamuang Hospital Kanchanaburi Province

Screening CMV Retinitis. Thamuang Hospital Kanchanaburi Province. 18 Nov 2008. Thamuang Hospital, Kanchanaburi Province. Total HIV/AIDs Patients. Thamuang Hospital, Kanchanaburi Province. Baseline CD4 Count. CD4 Count < 200. CD4 Count > 200. OIs. Follow up q 6 month.

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Thamuang Hospital Kanchanaburi Province

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  1. Screening CMV Retinitis Thamuang Hospital Kanchanaburi Province 18 Nov 2008 Thamuang Hospital, Kanchanaburi Province

  2. Total HIV/AIDs Patients Thamuang Hospital, Kanchanaburi Province

  3. Baseline CD4 Count CD4 Count < 200 CD4 Count > 200 OIs Follow up q 6 month Accessible to HARRT Yes If symptomatic* or CD4 declines < 200 initiate HARRT Initiate HARRT No CD4 <100 CD4 <50 CD4< 200 Follow up - clinical - CD4 Prophylaxis -Cryptococcosis Prophylaxis -PCP screening CMV retinitis Asymptomatic HIV Infection Guideline *AIDS defining illnesses or opportunistic infection

  4. Screening CMV retinitisevery6 month (CD4 ≤ 50) Yes CMV retinitis Refer for Treatment NO F/U Rx. Observe VA Thamuang Hospital, Kanchanaburi Province

  5. HIVQUAL-T 2006 -2008 • HIVQUAL-T Analysis Thamuang Hospital, Kanchanaburi Province

  6. HIVQUAL-T 2006 -2008 Thamuang Hospital, Kanchanaburi Province Thamuang Hospital, Kanchanaburi Province

  7. Option for hospitalIndicators ScreeningCMV retinitis Thamuang Hospital, Kanchanaburi Province

  8. ScreeningCMV retinitis Thamuang Hospital, Kanchanaburi Province

  9. Baseline CD4 Count CD4 Count < 200 CD4 Count > 200 Follow up q 6 months Accessible to HARRT Yes If symptomatic* or CD4 declines < 200 initiate HARRT Initiate HARRT No Follow up - clinical - CD4 Prophylaxis -PCP Asymptomatic HIV Infection Guideline OIs CD4 <100 CD4< 200 Prophylaxis -Cryptococcosis *AIDS defining illnesses or opportunistic infection Screening CMV Retinitis Thamuang Hospital, Kanchanaburi Province

  10. Screening CMV retinitisevery6 month (CD4 ≤ 100) Yes CMV retinitis Refer for Treatment NO F/U Rx. Observe VA Thamuang Hospital, Kanchanaburi Province

  11. Best Practice Quality Improvement • IPD • OPD • ANC • TB Clinic • Counseling CMV retinitis Screening Patient CD4 100 Thamuang Hospital, Kanchanaburi Province

  12. Suggestion • Optional indicators • HIVQUAL-T Model • (Organization Assessment Tool) • : Quality Planning • : QualityPerformance Measurement • : Quality Improvement Activities • : Evaluation of Quality Program Thamuang Hospital, Kanchanaburi Province

  13. Thamuang Hospital, Kanchanaburi Province

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