TY - GEN
T1 - Inconsistencies between recorded opportunistic infections and WHO HIV staging in western Kenya
AU - Oluoch, Tom
AU - De Keizer, Nicolette
AU - Kwaro, Daniel
AU - Wattoyi, Irene
AU - Okeyo, Nicky
AU - Cornet, Ronald
PY - 2013
Y1 - 2013
N2 - Opportunistic infections (OIs) are the main cause of morbidity and mortality among patients with HIV in developing countries. It is therefore critical that accurate diagnoses are made and that they are correctly recorded and managed. We reviewed 200 randomly selected records of clinical encounters with HIV infected pregnant women attending the ante-natal care (ANC) clinic in July 2012 at the Jaramogi Oginga Odinga Teaching and Referral Hospital in Kenya. None of the clients in WHO stage 4 and 2.8% of those in WHO stage 3 had a new OI diagnosis recorded during the clinical encounter. This data suggests current under-recording of OIs and the inconsistency between WHO staging and OI diagnosis. Structured methods such as SNOMED CT have the potential to improve complete and accurate recording of OIs which, in turn, enable automatedand accurate WHO staging.
AB - Opportunistic infections (OIs) are the main cause of morbidity and mortality among patients with HIV in developing countries. It is therefore critical that accurate diagnoses are made and that they are correctly recorded and managed. We reviewed 200 randomly selected records of clinical encounters with HIV infected pregnant women attending the ante-natal care (ANC) clinic in July 2012 at the Jaramogi Oginga Odinga Teaching and Referral Hospital in Kenya. None of the clients in WHO stage 4 and 2.8% of those in WHO stage 3 had a new OI diagnosis recorded during the clinical encounter. This data suggests current under-recording of OIs and the inconsistency between WHO staging and OI diagnosis. Structured methods such as SNOMED CT have the potential to improve complete and accurate recording of OIs which, in turn, enable automatedand accurate WHO staging.
KW - AIDS-related opportunistic infections
KW - HIV
KW - SNOMED CT
KW - WHO stage
UR - http://www.scopus.com/inward/record.url?scp=84894326828&partnerID=8YFLogxK
U2 - https://doi.org/10.3233/978-1-61499-289-9-1139
DO - https://doi.org/10.3233/978-1-61499-289-9-1139
M3 - Conference contribution
C2 - 23920913
SN - 9781614992882
T3 - Studies in Health Technology and Informatics
SP - 1139
BT - MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
PB - IOS Press
T2 - 14th World Congress on Medical and Health Informatics, MEDINFO 2013
Y2 - 20 August 2013 through 23 August 2013
ER -