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ISSN 1527-3172 (Electronic)

2012, Number 4

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MEDICC Review 2012; 14 (4)

SIDATRAT: Informatics to improve HIV/AIDS care

Aragonés C, Campos JR, Pérez D, Martínez A, Pérez J

Language: English
References: 35
Page: 5-9
PDF size: 104.98 Kb.


ABSTRACT

AIDS is a major cause of death in the Caribbean, a region with a high prevalence of HIV. However, prevalence in Cuba's population aged 15 to 49 years, despite a slight increase in recent years, is considered extremely low (0.1%). At the close of 2010, 5692 Cuban patients were receiving antiretroviral therapy. SIDATRAT, an informatics system, was developed at the Pedro Kourí Tropical Medicine Institute in Havana to ensure proper monitoring and followup of drug administration. Functioning on a web platform utilizing an Apache server, PHP and MySQL, it records patients' general information, CD4 counts, viral load and data from other laboratory tests, as well as endoscopic and imaging studies. It also compiles information on their AIDS classification, opportunistic infections, HIV subtype and resistance studies, followup consultations, drug regimen, adverse reactions to medications, changes in drug combinations, and survival; and tracks total number of individuals under treatment. SIDATRAT follows the client-server philosophy and enables access by authorized users throughout Cuba via the health informatics network. SIDATRAT has been found effective in supporting quality care for persons living with HIV/AIDS and universal access to antiretroviral therapy, compiling most of the information needed for decisionmaking on patient health and therapies. SIDATRAT has been offered to the UNDP office in Havana for sharing with other developing countries that may wish to adapt or implement it.


REFERENCES

  1. AIDS epidemic update [Internet]. Geneva: UNAIDS; 2009 [cited 2010 May 27]. 100 p. Available from: http://www.unaids.org/en/media/unaids/contentassets/ dataimport/pub/report/2009/jc1700_epi_update_2009_en.pdf.

  2. UNAIDS report on the global AIDS epidemic 2010 [Internet]. Geneva: UNAIDS; 2010 [cited 2011 Aug 08]. 364 p. Available from: http://www.unaids.org/en/ media/unaids/contentassets/documents/unaidspublication/2010/20101123 _globalreport_en.pdf.

  3. Safran C, Rind DM, Davis RB, Ives D, Sands DZ, Currier J, et al. Guidelines for management of HIV infection with computer-based patient’s record. Lancet. 1995 Aug 5;346(8971):341–6.

  4. Pakenham-Walsh N, Priestly C, Smith R. Meeting the information needs of health workers in developing countries. BMJ. 1997 Jan 11;314(7074):90.

  5. Fraser HS, Jazayeri D, Nevil P, Karacaoglu Y, Farmer PE, Lyon E, et al. An information system and medical record to support HIV treatment in rural Haiti. BMJ. 2004 Nov 13;329(7475):1142 –6.

  6. Nucita A, Bernava GM, Bartolo M, Masi FD, Giglio P, Peroni M, et al. A global approach to the management of EMR (electronic medical records) of patients with HIV/AIDS in sub-Saharan Africa: the experience of DREAM software. BMC Med Inform Decis Mak. 2009 Sep 11;9:42.

  7. Braitstein P, Einterz RM, Sidle JE, Kimaiyo S, Tierney W. “Talkin’ about a revolution”: How electronic health records can facilitate the scale-up of HIV care and treatment and catalyze primary care in resource-constrained settings. J Acquir Immune Defi c Syndr. 2009 Nov;52 Suppl 1:S54–7.

  8. Forster M, Bailey C, Brinkhof MW, Graber C, Boulle A, Spohr M, et al. Electronic medical record systems, data quality and loss to follow-up: survey of antiretroviral therapy programmes in resource-limited settings. Bull World Health Organ. 2008 Dec;86(12):939–47.

  9. Zabat GM, Caoili JC, Anduyon A, Ramos GJ, Morin MJ, Ditangco RA, et al. Design and implementation of an HIV/AIDS electronic medical record system (HIV/AIDS EMR) in the Philippines. AMIA Annu Symp Proc. 2007 Oct 11:1166.

  10. Tierney WM, Rotich JK, Hannan TJ, Siika AM, Biondich PG, Mamlin BW, et al. The AMPATH medical record system: creating, implementing, and sustaining an electronic medical record system to support HIV/AIDS care in western Kenya. Stud Health Technol Inform. 2007;129(Pt 1):372–6.

  11. Armas Padrino I. La prevención, mejor antídoto contra el SIDA. Granma. 2009 Dec 1. Spanish

  12. Ministry of Public Health (CU). Informe nacional sobre los progresos realizados en la aplicación del UNGASS. La Habana 2012 [Internet]. Geneva: UNAIDS; 2012 [cited 2012 Sep 1]. 69 p. Available from: http://www.unaids. org/es/dataanalysis/knowyourresponse/countryprogressreports/2012countri es/fi le,68500,es.pdf. Spanish.

  13. de Arazoza H, Joanes J, Lounes R, Legeai C, Clémençon S, Pérez J, et al. The HIV/AIDS epidemic in Cuba: description and tentative explanation of its low HIV prevalence. BMC Infect Dis. 2007 Nov 9;7:130.

  14. Pérez Avila LJ. Infección por VIH en Cuba. Resultados del tratamiento antirretroviral. Paper presented at IX Evento Científi co de GPSIDA; 2012 Jun; Sanatorio de Santiago de Las Vegas, Havana. Spanish.

  15. Santana S, Faas L, Wald K. Human immunodefi ciency virus in Cuba: the public health response of a Third World country. Int J Health Serv. 1991;21(3):511–37.

  16. Bayer R, Healton C. Controlling AIDS in Cuba. The logic of quarantine. N Engl J Med. 1989 Apr 13;320(15):1022–4.

  17. Pérez-Stable EJ. Cuba’s response to the HIV epidemic. Am J Public Health. 1991 May;81(5):563–7.

  18. Scheper-Hughes N. AIDS, public health, and human rights in Cuba. Lancet. 1993 Oct 16;342(8877):965–7.

  19. Pérez J, Pérez D, González I, Díaz Jidy M, Orta M, Aragonés C, et al. Approaches to the Management of HIV/AIDS in Cuba. Geneva: World Health Organization; 2004. 19 p.

  20. Surveillance System, National Program on HIV/AIDS. Havana: Ministry of Public Health (CU); 2009.

  21. Pérez J, Pérez D, González I, Díaz M, Millán JC, Orta M. Pautas cubanas para el tratamiento antirretroviral en los pacientes con VIH/SIDA. Havana: Ministry of Public Health (CU); 2004. Spanish.

  22. Pérez L, Álvarez LP, Carmona R, Aragonés C, Delgado E, Thomson MM, et al. Genotypic resistance to antiretroviral drugs in patients infected with several HIV type 1 genetic forms in Cuba. AIDS Res Hum Retroviruses. 2007 Mar;23(3):407–14.

  23. Pérez L, Thomson MM, Bleda MJ, Aragonés C, González Z, Pérez J, et al. HIV Type 1 molecular epidemiology in cuba: high genetic diversity, frequent mosaicism, and recent expansion of BG intersubtype recombinant forms. AIDS Res Hum Retroviruses. 2006 Aug;22(8):724–33.

  24. Harries AD, Nyangulu DS, Hargreaves NJ, Kaluwa O, Salaniponi FM. Preventing antiretroviral anarchy in sub-Saharan Africa. Lancet. 2001 Aug 4;358(9279):410–4.

  25. Kale R. Health information for the developing world. BMJ. 1994 Oct 8;309(6959):939–42.

  26. Séror AC. A Case Analysis of INFOMED: The Cuban National Health Care Telecommunications Network and Portal. J Med Internet Res. 2006 Jan 27;8(1):e1.

  27. Estruch L, Santín M, Lantero MI, Ochoa R, Joanes J, Alé K, et al. República de Cuba. Informe nacional sobre los progresos realizados en la aplicación del UNGASS. La Habana [Internet]. Geneva: UNAIDS. 2010 [cited 2010 Jun 20]. 42 p. Available from: http://data.unaids.org/pub/Report/2010/cuba_2010 _country_progress_report_es.pdf. Spanish.

  28. Reglamento de Seguridad para las Tecnologías de la Información. Havana: Ministry of Informatics and Communications (CU); 2007 [cited 2012 Sept 01]. 14 p. Available from: http://www.di.sld.cu/documentos/resol/REGLAMENTO _SEGURIDAD_TI.pdf. Spanish.

  29. Delgado A, Gorry C. Cuba’s National eHealth Strategy. MEDICC Rev. 2008 Jan;10(1):6–8.

  30. Douglas GP, Deula RA, Connor SE. The Lilongwe Central Hospital Patient Management Information System: a success in computer-based order entry where one might least expect it. AMIA Annu Symp Proc. 2003:833.

  31. Carnall D. Medical software’s free future. BMJ. 2000 Oct 21;321(7267):976.

  32. Geissbuhler A, Ly O, Lovis C, L’Haire JF. Telemedicine in Western Africa: lessons learned from a pilot project in Mali, perspectives and recommendations. AMIA Annu Symp Proc. 2003:249–53.

  33. Cimino JJ, Li J, Graham M, Currie LM, Allen M, Bakken S, et al. Use of Online Resources While Using a Clinical Information System. AMIA Symp Proc. 2003:175–9.

  34. Halamka JD, Szolovits P, Rind D, Safran C. A WWW implementation of national recommendations for protecting electronic health information. J Am Med Inform Assoc. 1997 Nov–Dec;4(6):458–64.

  35. Bates D, Cohen M, Leape L, et al. Reducing the frequency of errors in medicine using information technology. J Am Med Inform Assoc. 2001 Jul– Aug;8(4):299–308.




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