Literature DB >> 26990822

Brief Report: Apparent Antiretroviral Overadherence by Pill Count is Associated With HIV Treatment Failure in Adolescents.

Harriet Okatch1,2,3, Kaylin Beiter1, Jessica Eby1, Jennifer Chapman1, Tafireyi Marukutira4, Ontibile Tshume4, Mogomotsi Matshaba4,5, Gabriel M Anabwani4,5, Robert Gross6, Elizabeth Lowenthal1,7.   

Abstract

Pill counts with calculated adherence percentages are used in many settings to monitor adherence, but can be undermined by patients discarding pills to hide nonadherence. Pill counts suggesting that >100% of prescribed doses were taken can signal "pill dumping." We defined "overadherence" among a cohort of 300 HIV-infected adolescents as having greater than one-third of pill counts with >100% adherence during a year of follow-up. Apparent overadherence was more common in those with virologic failure than in those with suppressed viral loads (33% vs 13%, χ(2) P = 0.001). Pill count adherence repeatedly >100% may identify HIV-infected adolescents at increased risk of treatment failure.

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Year:  2016        PMID: 26990822      PMCID: PMC4942380          DOI: 10.1097/QAI.0000000000000994

Source DB:  PubMed          Journal:  J Acquir Immune Defic Syndr        ISSN: 1525-4135            Impact factor:   3.731


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Review 3.  Adherence to medical recommendations and transition to adult services in pediatric transplant recipients.

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Review 4.  Adherence challenges in the management of type 1 diabetes in adolescents: prevention and intervention.

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Review 5.  Perinatally acquired HIV infection in adolescents from sub-Saharan Africa: a review of emerging challenges.

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6.  How often is medication taken as prescribed? A novel assessment technique.

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9.  Evaluating adherence to highly active antiretroviral therapy with use of pill counts and viral load measurement in the drug resources enhancement against AIDS and malnutrition program in Mozambique.

Authors:  Massimo Magnano San Lio; Riccardo Carbini; Paola Germano; Giovanni Guidotti; Sandro Mancinelli; Noorjehan Abdul Magid; Pasquale Narciso; Leonardo Palombi; Elsa Renzi; Ines Zimba; Maria Cristina Marazzi
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Journal:  J Acquir Immune Defic Syndr       Date:  2018-07-01       Impact factor: 3.731

6.  Distinctive barriers to antiretroviral therapy adherence among non-adherent adolescents living with HIV in Botswana.

Authors:  Elizabeth Yang; Seipone Mphele; Neo Moshashane; Boineelo Bula; Jennifer Chapman; Harriet Okatch; Ed Pettitt; Ontibile Tshume; Tafireyi Marukutira; Gabriel Anabwani; Elizabeth Lowenthal
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9.  Feasibility and Acceptability of Real-Time Antiretroviral Adherence Monitoring among Depressed Women Living with HIV in the Deep South of the US.

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10.  Emtricitabine triphosphate in dried blood spots is a predictor of viral suppression in HIV infection and reflects short-term adherence to antiretroviral therapy.

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