1. HIV inpatient February 2015 Penny Lewthwaite

2. HIV inpatients June 30 th 2014- February 2 nd 2015 43 inpatients

3. HIV patient admissions to J20 June 30 th -October 31 st 2014 n=19 Nov 1 st – February 3 rd 2015 N=24

4. In patient bed days 43 patients 653 inpatient bed days to date – Includes 5 current in patients – Range 1-83 days – Average length of stay 15 days, Median 7 days

7. Length of stay by CD4 CD4Number of patients Mean length of stay (days) Range (days) <2002422(1 to 83) 200-<350712(4 to 44) >350104(1 to 9) No data24(1 to 6)

8. Length of stay by CD4 CD4Number of patients Mean length of stay (range) Range <501025(4 to 83) 50-<100410(7 to 19) 100-<2001023(1 to 73) 200-<350712(4 to 44) >350104(1 to 9) No data24(1 to 6)

9. CNS other: 2 headache, 1 cerebellar infarct, I muscular neck pain Infection other: 2 UTI, 1 otitis externa, 3 URTI/LRTI, 1 Exacerbation of COPD1 non- specifically unwell Non-infection: 1 Alcoholic Liver Disease, 1 haematemesis, 1 malignant hypertension, 1 arthritis flare after infliximab

10. Additional notes 15 patients newly diagnosed 2 patients representing after loss to follow up 1 patient transferred after HIV +ve screen and negative confirmatory test not included CD4 count on admission or closest CD4 count prior to admission used.

11. Acute Medicine Clinical Service Unit Referral and Reversal Pathway- ”Right place at the right time”

12. Information for network partners intranet: contact details Please update contact information for return of referred inpatients- document being circulated Information for local intranets: All HIV patients needing admission or inpatient review for specialist HIV care should now be referred to the Infectious Diseases Consultant-led team based on Ward J20 at St James’s University Hospital, LTHT via : Routine working hours ID secretaries 0113 (20)66614 WardJ20 0113(20)69120 ID Fax 0113 (20)66984 Out-of-hours ID Consultant via switchboard at LTHT 0113 2433144