HIV/AIDS Treatment and Care : Clinical protocols for the European ...

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196 HIV/AIDS TREATMENT AND CARE CLINICAL PROTOCOLS FOR THE WHO EUROPEAN REGION V. Suggested minimum data to be collected at the clinical level The suggested minimum data to be collected is important in the development of key indicators on access of IDUs to treatment and its success. Such indicators assist managers in decision making on ways to strengthen and expand these services to all those in need. The following data should be collected at each clinical facility on a regular basis (e.g. monthly, quarterly or semi-annually): • number of HIV patients (“seen for care” – this will be the denominator for the data below); • number of IDUs among all HIV patients: ° number of HIV-infected active IDUs (having injected in the past four weeks); ° number of HIV-infected former IDUs (not having injected in past the four weeks); • number of IDUs eligible for ART (CD4
ANNEX 1 ASI6 C © 2004 University of Pennsylvania HIV/AIDS TREATMENT AND CARE FOR INJECTING DRUG USERS Annex 1. Addiction Severity Index (ASI), European version 6 (EuropASI6) 27 ASI6, Alterman, A.I. et al. © University of Pennsylvania. EuropASI6, Kokkevi, A., Uchtenhagen, A., Oberg D. & Sallmén, B. 2005. A General Information - This is a standard interview that asks questions about several life areas – your health, employment, alcohol and drug use, etc. Some of the questions ask about the past 30 days or the past six months, while others are about your entire lifetime. All the information you give is confidential (explain specifics) and will be used to (explain purpose). Please answer the questions with your best estimates. If there are questions that you don’t understand or prefer not to answer, please let me know. The interview will take about an hour to complete. Do you have any questions before we begin? First we’ll start with some general background information. Patient Name: ________________________________________ A1. Patient ID: Interviewer Name:_____________________________________ A2. Interviewer ID: or A3. Observer ID: A4. Date of Interview: / / A5. Date of Admission: / / A6. Time Frame of Interview: 1 – Prior to Interview Date 2 – Prior to Admission Date 3 – Prior to Other Date: / / A7. Time Begun: : A8. Gender (1 – Male, 2 – Female): A9. Date of Birth: / / (Age:___________) A10. Country of birth a. Respondent b. Father c. Mother A11. Nationality 1- National of this country 3-National of other country 2- EU national Specify _____________________________________________ A12. What is your current marital status? 1 – Now married 4 – Divorced 2 – Living as married 5 – Separated 6 → A14 3 – Widowed 6 – Never Married A13. How long have you been (A12 response)? Years Months A14. How were you referred to treatment? -i.e. referred to this specific Tx program 1 – Self, family or friend 2 – Alcohol or drug use provider or agency 3 – Other healthcare provider or agency 4 – School 5 – Work or employee assistance program 6 – Community agency (unemployment office, shelter, church, etc.) 7 – Court or legal system B Housing – The following questions ask whether you have lived in any kind of restricted or supervised setting during the past 6 months since _________ and the past 30 days since_________. [NOTE: 6 months = 180 days, inform client if necessary.] B1. In the past 6 months, about how many nights have you stayed in a hospital, inpatient alcohol, drug, or psychiatric unit, jail or prison, recovery or half-way house, or group home? A. Past 6 months B. 30 Days 000 → B8 Of those nights, how many were in a(n): A. B. B2. inpatient unit for drug or alcohol treatment? B3. medical hospital? B4. psychiatric hospital? B5. jail or prison? B6. recovery / half-way house, or group home? B7. other kind of restricted or supervised living situation? What type of place? ________________________________ B8. How many nights have you A. Past 6 months B. 30 Days spent in a homeless shelter? 000 → B9 B9. How many nights have you lived on the street, or in places such as abandoned buildings, cars, or parks because you had nowhere else to stay? A. Past 6 months B. 30 Days 000 → NOTE [NOTE: If B8A or B9A > 0 (i.e. if any time in a shelter or on the street in the past 6 months), skip to next NOTE.] B10. Have you ever stayed in a homeless shelter or lived on the street (in places such as abandoned buildings, cars, or parks) because 1-Yes, 0-No you had nowhere else to stay? [NOTE: If B1B + B8B = 30 (i.e. if all of the past 30 days were in a restricted living arrangement or shelter), skip to Medical.] B11. In the past 30 days (when you were NOT in a restricted / supervised living situation or shelter), who have you lived with (. . . anyone else)? [Check all that apply] ___1. Alone ___5. Other adult relatives ___2. Spouse/Partner ___6. Other adult non-relatives ___3. Child(ren) < age 18 ___7. Not Answered ___4. Parents B12. In the past 30 days (when you were NOT in a restricted / supervised living situation or shelter), have you lived with anyone who 1-Yes, 0-No has a current alcohol problem or uses drugs? 27 Source: adapted from Alterman AI et al. (133). A manual will be available on the WHO website, http://www.euro.who. int/aids 1 197
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HIV/AIDS TREATMENT AND CARE Clinica
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© World Health Organization 2007 A
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iv Acknowledgements The editors wou
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vi Marco Vitoria (WHO headquarters)
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viii CRP C-reactive protein CS caes
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x LFT liver function test LGE linea
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xii TDM therapeutic drug monitoring
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xiv Introduction HIV is a chronic i
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Annex 7. Glossary .................
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HIV/AIDS TREATMENT AND CARE CLINICA
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HIV/AIDS TREATMENT AND CARE CLINICA
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10 HIV/AIDS TREATMENT AND CARE CLIN
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1 HIV/AIDS TREATMENT AND CARE CLINI
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I. Principles management of opportu
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management of opportunistic infecti
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Table 8. pcp second-line treatment
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Table 12. oesophageal and dissemina
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5.9.1.2. Treatment Table 15. treatm
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palliative care for people living w
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III. Initial evaluation palliative
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IV. Treatment palliative care for p
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Fig. 2. who analgesic ladder for ma
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Type of pain or treatment Usual sta
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Table 5. prevalence of symptoms in
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Type Symptoms Possible causes Disea
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Type Symptoms Possible causes Disea
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Table 22. Management of mania and B
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Table 24. Management of cough or di
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V. Special advice for terminal care
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Table 27. common manifestations in
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References palliative care for peop
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VI. Suggested minimum data to be co
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136 HIV/AIDS TREATMENT AND CARE CLI
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Page 173 and 174: Contents I. Policy and principles .
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Page 211 and 212: ANNEX 1 ASI6 C © 2004 University o
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Page 238 and 239: Contents I. Epidemiology and natura
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ManageMent of Hepatitis C and HiV C
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Annex 3. Alcohol screening question
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Table 16. a sample of the drug pipe
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3.2. Considerations regarding treat
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278 hiv/aids tReatment and caRe cLi
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I. Prevention strategies Prevention
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Prevention of HePatitis a, B, C and
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Prevention of HePatitis a, B, C and
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5. Contraceptive methods for women
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I. Policy issues Prevention of Hiv
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III. Initial evaluation Prevention
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Prevention of Hiv transmission from
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6. Fungal infections...............
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• Disseminated non-tuberculous my
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Annex 3. Rabies vaccines ..........
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442 hIv/aIds tReatment and caRe clI
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Contents I. Policy issues .........
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I. Policy issues post-exposure prop
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post-exposure prophylaxis for hiv i
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° condom use ° presence of STIs (
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Table 3. thre- drug arv regimens Pr
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VI. Suggested minimum data to be co
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History of antiretroviral treatment
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Test results: HBV: HCV: HIV: Post-t
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Infection control standard precauti
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The World Health Organization (WHO)
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