Issues in the management of prisoners infected with HIV-1: the King's College Hospital HIV prison service retrospective cohort study

Concern has been raised about the quality of health care provided to prisoners in England and Wales. 1 2 The management of prisoners infected with HIV-1 is challenging: a high proportion are injecting drug users, there are issues regarding confidentiality, and administering complex antiretroviral regimens may be difficult in prison. The spectrum of clinical problems included respiratory tract infections, investigation of possible mycobacterium tuberculosis (n=12), treatment of lymphoma or Kaposi's sarcoma (n=2), meningitis (n=2), complications from hepatitis C (n=1), and neuropsychiatric problems (n=1).