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Nurses as effective as doctors in treatment of HIV patients
Date:8/14/2012

Nurse-centred care of HIV patients can be just as safe and effective as care delivered by doctors and has a number of specific health benefits, according to a new study led by the University of East Anglia (UEA) and the University of Cape Town (UCT).

Published today in The Lancet, the research shows that neither survival rates nor virus suppression reduced when nurses administered antiretroviral drugs to patients in South Africa. Health benefits included: significantly improved detection of tuberculosis; increased white blood cell count; increased weight; and improved adherence with the treatment programme.

More than 15,000 patients took part in the two-year randomised controlled trial in Free State, South Africa. All 31 clinics in the province took part in the study which was conducted by UEA in partnership with UCT and other universities.

South Africa has around six million people infected with HIV more than any other country in the world. Of those patients who would benefit from antiretroviral treatment, less than one in three receive it. In the West, this figure is nearer to 100 per cent.

It is a priority of the World Health Organisation to expand access to antiretroviral treatment, but in South Africa access to the right drugs in limited by a chronic shortage of trained doctors. The South African government is trying to shift healthcare provision from doctors to primary care nurses who are more plentiful. This policy has been resisted by some HIV physicians and nurses, however, who feel administration of these drugs is the proper domain of doctors.

Joint lead author Prof Max Bachmann, of Norwich Medical School at UEA, said: "Our findings show that with very little extra training and support nurses can deliver HIV care that is just as safe and effective as that provided by doctors. Indeed, we found that this model of nurse-centred care had a number of important health benefits.

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Contact: Simon Dunford
s.dunford@uea.ac.uk
44-160-359-2203
University of East Anglia
Source:Eurekalert

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