Mejorar la adherencia al tratamiento antirretroviral. Recomendaciones de la SPNS/SEFH/GESIDA
2008
Objective: To facilitate unified criteria for health professionals to improve
adhesion to antiretroviral therapy.
Methods: The recommendations were drawn up and agreed upon
by an expert panel from the SPNS, GESIDA and SEFH, after an exhaustive
review of the latest relevant epidemiological and clinical
studies that have been published in the medical literature and/or
presented at congresses and scientific forums.
Results: The factors related to adhesion with antiretroviral therapy
came from individuals, health care professionals and treatment variables.
Current available methods for measuring adhesion are diverse
and classified as direct and indirect. The ideal method is shown to be
one which is highly sensitive and specific, enables quantitative and
continuous measurement and is reliable, reproducible, economical
and quick. The doctor, nurse and pharmacist play a key role in the
strategies for adhesion improvement. Specific programmes based on
exhaustive knowledge of individualized variables from patients and
their antiretroviral therapy should be developed.
Conclusions: The use of combined methods which are adapted to
healthcare facility characteristics for adhesion improvement is recommended.
The structured support to interpersonal adhesion developed
by trained healthcare professionals and individualized strategies has
been demonstrated as being the most effective intervention strategy
to improve adhesion with antiretroviral treatment.
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