Pharmaceutical care and evaluation of adherence to antiretroviral therapy in people living with HIV/AIDS



Document title: Pharmaceutical care and evaluation of adherence to antiretroviral therapy in people living with HIV/AIDS
Journal: Brazilian Journal of Pharmaceutical Sciences
Database: PERIÓDICA
System number: 000451954
ISSN: 1984-8250
Authors: 1
2
3
4
Institutions: 1Secretaria de Estado da Saude, 4 Regional de Saude, Irati, Parana. Brasil
2Universidade Estadual do Parana, Curitiba, Parana. Brasil
3Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul. Brasil
4Universidade Estadual de Maringa, Departamento de Farmacia, Maringa, Parana. Brasil
Year:
Volumen: 58
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract Highly Active Antiretroviral therapy (HAART) depends on optimal adherence to be effective. Pharmacotherapeutic follow-up can be used as a strategy for treatment fidelity. To provide pharmaceutical care for HAART patients, to assess adherence, to identify and resolve drug related problems (DRP). This is a prospective, interventional study aimed at people on HAART. Data was collected using the pharmacotherapeutic follow-up form and CEAT-VIH. There was a predominance of women (59%), older than 33 years (75%), mostly single (43%). Regarding adherence, 64% had insufficient adherence at the start of the study, while 36% had strict/adequate adherence. After the pharmacotherapeutic follow-up, 70% presented strict/adequate adherence. Regarding HAART, the relationship between adhesion versus time of HAART and adherence versus regimen used was significant, considering that less time of therapy and regimen containing protease inhibitors are predictors for insufficient adherence. Regarding the DRP identified (f=77), missed pills (32%), untreated disease, incorrect management frequency, and undue self-medication (12%) were the most frequent. Pharmaceutical interventions (f=137) were predominantly advising related to specific pharmacological treatment (32%), non-pharmacological measures (20%), and medication suspension (9%). Pharmaceutical care was shown to be animportant strategy, within the multi professional team, to improve adherence, besides identifying and resolving DRP
Disciplines: Medicina
Keyword: Virus,
Farmacología,
VIH,
AIDS,
Terapia antirretroviral,
Adherencia al tratamiento,
Servicios farmacéuticos
Keyword: Virus,
Pharmacology,
HIV,
AIDS,
Antiretroviral therapy,
Treatment adherence,
Pharmaceutical services
Full text: Texto completo (Ver HTML) Texto completo (Ver PDF)