| Literature DB >> 26990822 |
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.Entities:
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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