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Systematically collected information at encounters with HIV-positive students: A review of 10 years of electronic medical records
Authors:Jacob D Ball  Denny Fe Agana  Sheldon Waugh  Kai Wang  Tyler G James  Guy Nicolette
Institution:1. Department of Epidemiology, University of Florida, Gainesville, Florida, USA;2. Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA;3. Jball2@ufl.edu;5. H. James Free Center for Primary Care Education &6. Innovation, University of Florida, Gainesville, Florida, USA;7. Department of Community Health &8. Family Medicine, University of Florida, Gainesville, Florida, USA;9. Department of Health Education &10. Behavior, University of Florida, Gainesville, Florida, USA;11. Department of Community Health &12. Student Health Care Center, University of Florida, Gainesville, Florida, USA
Abstract:Abstract

Objective: The objective of this study was to examine clinical and epidemiological information collected by Student Health Center (SHC) providers on HIV-positive students, and benchmark this information against Infectious Disease Society of America guidelines. Participants: Students who utilized the SHC and had an ICD-9 code indicating positive HIV status between 2005 and 2015 (3?=?7). Methods: In June 2016, we accessed the free-form provider notes of the SHC’s electronic medical records to identify specific, recorded epidemiological and clinical information. Results: Seven unique students sought care at the SHC during the study period. Current sexual risk taking and other known behavioral risk factors were absent from all records, along with CD4 count and viral load. ART status was only available for one patient, and he was not on ART. The information collected failed to meet IDSA benchmarks. Conclusion: Clinically- and epidemiologically-relevant information is not systematically collected from HIV-positive students at SHCs.
Keywords:Clinical medicine  electronic medical records  HIV  record review
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