Aspectos relacionados à utilização de antirretrovirais em pacientes de alta complexidade no estado do Rio de Janeiro, Brasil

Madruga, Lívia Gonçalves dos Santos Lima; Silva, Gabriela Veloso Vieira da; Alves, V.; Velarde, Luís Guillermo Coca; Azeredo, Thiago Botelho; Setúbal, Sérgio; Brito, Monique Araújo de; Lima, Elisângela da Costa

doi:10.1590/1413-812320182311.24742016

Cited by 4 publications

(3 citation statements)

References 43 publications

(134 reference statements)

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“…These characteristics had already been reported in studies developed in the states of Ceará (northeastern Brazil) and Rio de Janeiro (southeastern Brazil). 20,21 According to Silva et al, 20 a positive diagnosis of HIV/AIDS can generate a depressed mood and make it difficult to build and maintain affective relationships. This scenario can have a negative impact on women's lives that may even interfere with their acceptance of the diagnosis and adequate adherence to treatment.…”

Section: Discussionmentioning

confidence: 99%

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Cândido

Amador²,

Silva

et al. 2021

Sao Paulo Med. J.

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BACKGROUND: High prevalence of human immunodeficiency virus (HIV) infection and occurrence of drug-resistant strains have been recorded in northern Brazil. Abandonment of treatment and insufficient and inadequate adherence to antiretroviral therapy (ART) among people living with HIV/AIDS (PLWHA) have been recorded in the metropolitan area of Belém, the capital of the state of Pará. OBJECTIVES: To identify the sociodemographic profile and level of adherence to ART among women seen at a referral unit in the interior of Pará, northern Brazil. DESIGN AND SETTING: Cross-sectional study at a referral unit for care for PLWHA. METHODS: We included 86 women living with HIV/AIDS (WLWHA) in the Rio Caeté integrated region, northeastern Pará. Social, demographic and behavioral information, as well as the ART level, were obtained using forms that have been described in the scientific literature. Logistic regression models were used to assess associations of variables with ART. RESULTS: Most WLWHA were single (52.4%), young (47.7%) and heterosexual (97.7%), had low levels of education (63.0%), were unemployed (69.8%), had one sexual partner (75.7%), used condoms (46.7%) and were not using either licit drugs (68.7%) or illicit drugs (89.6%). Their adherence level was classified as insufficient , and only their viral load showed an association with ART. CONCLUSIONS: The participants' low level of education and poor socioeconomic conditions may have been interfering with their adherence to ART. Such influences can be minimized through multiprofessional interventions that take the individuality of women served by the healthcare service into consideration.

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Section: Discussionmentioning

confidence: 99%

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Cândido

Amador²,

Silva

et al. 2021

Sao Paulo Med. J.

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“…The link between practitioners and PLWHAs should be strengthened, promoting clinical and drug follow-up and monitoring and, consequently, therapeutic adherence. (19) There is even a need to reinforce the importance of adherence to treatment through more intensive and inclusive monitoring strategies, capable of instrumentalizing the subjects for shared and team-supported self-care.…”

Section: Discussionmentioning

confidence: 99%

Pessoas vivendo com HIV/Aids no cárcere: regularidade no uso da terapia antirretroviral

et al. 2019

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Resumo Objetivo Analisar os desafios relacionados à regularidade no uso da terapia antirretroviral pelas pessoas vivendo com HIV privadas de liberdade. Métodos Trata-se de um estudo exploratório, com abordagem quantitativa, realizado em seis unidades prisionais de dois municípios paulistas. A coleta de dados ocorreu no período de agosto a novembro de 2015, mediante entrevistas, com apoio de instrumento específico. Os dados foram analisados a partir de técnicas descritivas, análise univariada (testes de associação Qui-quadrado e Exato de Fisher) e teste não paramétrico U de Mann-Whitney. Resultados Participaram da pesquisa 67 indivíduos em uso da terapia antirretroviral. Identificou-se que, nos últimos sete dias, 80,6% dos indivíduos não deixaram de tomar os medicamentos antirretrovirais e 91% negaram tomar quantidade errada de comprimidos, de acordo com a prescrição médica. Quanto às ações de monitoramento da terapia antirretroviral, o questionamento sobre o uso contínuo dos medicamentos pela equipe de saúde das unidades prisionais foi considerado regular. O uso irregular da terapia antirretroviral apresentou associação estatisticamente significante com uso de drogas lícitas antes do encarceramento (p=0,006) e interrupção do acompanhamento médico (p=0,014). Conclusão Tais achados mostram a necessidade de estratégias de intervenção que favoreçam o acompanhamento e monitoramento do uso da terapia antirretroviral no contexto prisional.

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“…It also revealed excess of demand as one of the main factors that compromise the quality of care to be provided. 12 However, the studies addressing the DDUs lack information related to their infrastructural characteristics, being limited to the clinical data of PLHA [13][14][15] . In this sense, studies characterizing the physical structure and care conditions offered to PLHA in the DDUs from Ceará are necessary to know the local reality of the functioning of these services.…”

Section: Introductionmentioning

confidence: 99%

Analysis of 28 antiretroviral drug dispensing units in the state of Ceará

Paula-De-França¹,

Brito-Passos²,

Pereira³

et al. 2020

Rev Bras Farm Hosp Serv Saude

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Objective: To characterize the physical structure of antiretroviral Drug Dispensing Units (DDU) as well as the conditions of service offered to People Living with HIV/SIDA (PLHS). Methods: This is a descriptive, quantitative and exploratory study. Data collection occurred from a semi-structured form composed of 46 questions that was sent to the e-mails of the responsible for Antiretroviral (ARV) dispensing services, containing questions related to human resources and infrastructure characteristics of the units. Results: A total of 28 DDU participated in the study. It was observed that 71.4% (n=20) of these were implanted in replace assistance by care for patients with Sexually Transmitted Infections (STI) and Acquired Immunodeficiency Syndrome (SIDA) associated with Human Immunodeficiency Virus (HIV) Infection. Regarding the dispensing area of supplies and medicines, this was higher than 14m² in 80% and higher than 5m² in 90% of the sample studied. All units used the logistical drug control system for dispensing control; however, not all professionals in the units were able to operationalize it. Additionally, it was found that in 28.6% (n=8) of the DDU the waiting room/corridor was not adapted for people with disabilities, besides not having priority service as provided by law. It is also emphasized that, in 35.7% (n=10) of the services, the counter where the ARV were dispensed did not facilitate direct contact with the PLHA. In addition, about 29.0% (n=8) of the services had individual service counters with table and chairs available to users and in 60.7% (n=17) there were only counter/counter for service. Also, grids were found in the service desk, separating the attendant from the user in 71.4% (n=20) of the services. The room for individualized service and pharmaceutical clinical care was present in only 32.2% (n=9) of the services. Conclusion: It is suggested that there are adjustments in the physical structure of the units, as well as the need is urgent for individualized and private service, according to the specificities of each service, in order to strengthen the direct relationship between pharmacists and patients and, in particular, ensure humanized assistance.

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Aspectos relacionados à utilização de antirretrovirais em pacientes de alta complexidade no estado do Rio de Janeiro, Brasil

Cited by 4 publications

References 43 publications

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Pessoas vivendo com HIV/Aids no cárcere: regularidade no uso da terapia antirretroviral

Analysis of 28 antiretroviral drug dispensing units in the state of Ceará

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