Source:http://linkedlifedata.com/resource/pubmed/id/17573596
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2007-6-18
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pubmed:abstractText |
Adherence to antiretroviral (ART) therapy, as reported by children caregivers, was investigated and compared with physicians' estimates of adherence. Two parallel structured questionnaires were administered to caregivers of 129 HIV-infected children and to their physicians in seven different Italian reference centers. Doses omitted in the last four days were recorded. Perfect adherence (>95% of prescribed doses taken in the last four days before interview) was reported by caregivers of 103 (79%) children. Five children (5%) omitted one dose of any ART drug in four days and were considered adherent. Low (<95 but >80% of doses) and poor (<80% of doses) adherence were reported by 15 (12%) and six (5%) caregivers, respectively. Forty-eight children (37%) were judged to be non-adherent by their physicians, including 35 children who were receiving all the prescribed doses according to caregivers. The physicians identified eight out of the 21 non-adherent children as adherent. Non-adherence estimates by physicians closely correlated with poor clinical conditions. These data indicate that adherence is a major problem but there is a clear discrepancy between caregiver reports and physician judgement. The results underline the need of close surveillance of adherence in HIV-positive children in order to evaluate the effectiveness of ART therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0954-0121
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
764-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:17573596-Anti-Retroviral Agents,
pubmed-meshheading:17573596-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:17573596-Caregivers,
pubmed-meshheading:17573596-Child,
pubmed-meshheading:17573596-Child, Preschool,
pubmed-meshheading:17573596-Evaluation Studies as Topic,
pubmed-meshheading:17573596-Female,
pubmed-meshheading:17573596-HIV Infections,
pubmed-meshheading:17573596-Humans,
pubmed-meshheading:17573596-Infant,
pubmed-meshheading:17573596-Interviews as Topic,
pubmed-meshheading:17573596-Male,
pubmed-meshheading:17573596-Medical Staff,
pubmed-meshheading:17573596-Patient Compliance
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pubmed:year |
2007
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pubmed:articleTitle |
Adherence to antiretroviral therapy in children: a comparative evaluation of caregiver reports and physician judgement.
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pubmed:affiliation |
Department of Pediatrics, University Federico II, Naples, Italy.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't,
Multicenter Study
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