60% of people do not follow the treatment

María Río, vice president and general manager of Gilead in Spain.

Nail poor adhesion Long-term antiretroviral treatment (ART) increases the risk of virological failure, the emergence of resistance and the risk of continuing to transmit the virus. “The 60 percent of patients with HIV are not taking antiretroviral therapy,” highlighted Rocío Montejano, from La Paz University Hospital in Madrid, during the “Adherence and Resistance” webinar organized as part of the online training program “HIV is 2.0: go beyond the undetectable ‘, promoted by Seisida and Gilead, which wants to respond to the challenges that still persist in the management of HIV infection.

In this sense, the specialist from La Paz explained that “good compliance in patients helps to achieve best results virological-immunological and, consequently, a better quality of life”. Long-term viral suppression, for Montejano, “depends on three important elements: compliance, viruses and drugs“.

For his part, Ramón Morillo of FEA Farmacia Hospitalaria AGS Sur de Sevilla, stressed that membership must be addressed multidisciplinary way comprising “a series of steps that range from acceptance of the diagnosis, perception of the need, motivation to do, will and skills, and overcoming obstacles and difficulties” because poor adherence can lead to a “virological failureto a deterioration in the state of health and, above all, to a compromising life expectancy”.

From a multidisciplinary point of view, when it comes to assess ART adherence it is “important to take into account both the vision of primary care and specialized care where not only antiretroviral therapy is evaluated but also all other drugs prescribed to the patient”.

Factors Influencing Adherence to HIV Treatment

Concerning the factors which intervene in the observance, there are both those of the person who lives with the infection, for example, the lack of social support or family, socio-economic or educational level, drug use, knowledge and beliefs about treatment, such as the patient’s attitudes towards drugs and distrust of efficiency treatment, as well as social stigma.

During this meeting, the specialists also highlighted that a series of variables are involved in the treatment, such as the number of drugsfrequency of administration, dietary restrictions, side effects and impulsiveness in lifestyle. Thus, for example, “it has been shown that for good adherence to antiretroviral treatment, it is recommended that the treatment regimen includes one or two tablets per day and preferably in a single dose, that there are no food restrictions and that he has the minimal side effects affect their quality of life,” Morillo recalled.

Likewise, the Andalusian health service specialist highlighted the importance of developing new models of health care who adapt to the patient to serve him according to his needs. In this sense, particular attention must be paid to the “therapeutic complexity” and the “priority individualization of care and permanent contact”. In this new approach, from the point of view of Hospital Pharmacy, the pharmacist is put in contact with the patient and/or the carer and the rest of the health professionals “to assist according to their needs, taking into account the strategies to align and achieve the short and medium-long term objectives in drug therapies and to integrate new technologies and the means available to perform continuous interaction with it, in order to improve health outcomes“.

Although it may contain statements, data, or notes from healthcare institutions or professionals, the information in Medical Writing is edited and prepared by journalists. We recommend that the reader consult a healthcare practitioner with any health-related questions.

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