Ambulatory Care in Patients with HIV-infection at Srinagarind Hospital

Main Article Content

Ratchadaporn Wisai
Rindawan Pankean
Piroon Mootsikapan
Chcardchai Soontornpas


Ambulatory care is an emerging role of pharmacist that appears to be valuable for patients including patients with HIV infection. The pharmaceutical care in the HIV-clinic at Srinagarind Hospital have been implemented since January 2005. The aim of this prospective descriptive study, carried out between July and December 2005, was to explore the roles of pharmacists in pharmaceutical care provision. There were 217 patients treated with antiretroviral therapy at the HIV-clinic and recruited into the study. The medical review and pharmaceutical care service were provided to the patients and consisted of identifying, correcting and preventing drug related problems (DRPs) and medication errors (MEs). The pharmaceutical care activities included 217 medication profile collections and 310 patient counselings. One-hundred forty-eight of DRPs and 5 MEs were identified and were solved by pharmacists and physicians. Interestingly, patient counseling can statistically significant improve both patient ร adherence and knowledge. In conclusion, the ambulatory care could help patients with HIV-infection for identifying, preventing and solving the DRPs and improve the clinical outcome of the patients.


Download data is not yet available.

Article Details



Ammassari A, Trotta MP, Murri R, Castelli F, Narcisco P, Nato P, et al. (2002). Correlates and predictors of adherence to highly active antiretroviral therapy: Overview of published literature. J Acquire Immune Defic Syndr, 31, pp. S118-S122.

Codina C, Tuset M, Delgado O, Garcia B, Morancho O, Escobar A, et al. (2002). Evaluation of a pharmaceutical care program to improve the adherence to antiretroviral therapy. 14th Int. Conf. AIDS. Barcelona, Spain - Jul 7-12, 14 :(abstract no. MoPeB3291).

Foisy M, Tseng A, Blaikie N. (1996). The development and implementation of a seamless pharmaceutical care program for HIV patients. 11th Int. Conf. AIDS. Vancouver, British Columbia - Jul 7-12, 11:81 (abstract no. Mo.B.1155).

Levy RW, Rayner CR, Fairley CK, Kong DCM, Mijch A, Costello K, et al. (2004). Multidisciplinary HIV adherence intervention: a randomized study. AIDS Patient Care STDS, 18(12), pp.728-735.

Press N, Tyndall MW, Wood E, Hogg RS. (2002). Virologic immunologic response, clinical progression and highly active antiretroviral therapy adherence. J Acquire Immune Defic Synd, 31, pp. S112-S117.

Sandra M, Mara N. Pharmaceutical services in an HIV clinic. (2002) Am J Health-syst Pharm, 59(8), pp. 709-713.