Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2010-4-19
pubmed:abstractText
A study to measure adherence to artesunate and amodiaquine (AS+AQ) therapy in patients treated for uncomplicated malaria in community health centres (CHC) was conducted in Sierra Leone. Patients/caretakers were interviewed and remaining AS+AQ tablets at home after the last treatment dose were counted. Persons leaving CHCs with an AS+AQ prescription were also interviewed (exit interviews). In total, 118 patients were visited at home: 27 (22.9%) had one or more tablets left and were classed as certainly non-adherent; 34 (28.8%) were probably non-adherent [reported incorrect (n=27) or incomplete (n=7) intake]; and 57 (48.3%) were probably adherent. The main reasons for incomplete intake were sickness after one dose of AS+AQ, no food available for drug intake and forgetting to take them. For incorrect intake, reasons were vomiting after drug intake and incorrect instructions given by the CHC. Eighty-one percent of probably adherent patients reported following instructions given to them. In exit interviews, 82% of patients or caretakers of patients were able to repeat AS+AQ intake instructions correctly. Adherence to antimalarial treatment should not be taken for granted. Instructions on correct AS+AQ use should include discussion of disease symptoms as well as possible treatment side effects and how to manage them. Other factors are more difficult to influence, such as patients forgetting to take the treatment.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1878-3503
pubmed:author
pubmed:copyrightInfo
Copyright 2010 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
104
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
328-35
pubmed:meshHeading
pubmed-meshheading:20129636-Adolescent, pubmed-meshheading:20129636-Adult, pubmed-meshheading:20129636-Aged, pubmed-meshheading:20129636-Amodiaquine, pubmed-meshheading:20129636-Antimalarials, pubmed-meshheading:20129636-Artemisinins, pubmed-meshheading:20129636-Caregivers, pubmed-meshheading:20129636-Child, pubmed-meshheading:20129636-Child, Preschool, pubmed-meshheading:20129636-Drug Therapy, Combination, pubmed-meshheading:20129636-Female, pubmed-meshheading:20129636-Health Knowledge, Attitudes, Practice, pubmed-meshheading:20129636-Humans, pubmed-meshheading:20129636-Infant, pubmed-meshheading:20129636-Malaria, pubmed-meshheading:20129636-Male, pubmed-meshheading:20129636-Medication Adherence, pubmed-meshheading:20129636-Middle Aged, pubmed-meshheading:20129636-Parents, pubmed-meshheading:20129636-Questionnaires, pubmed-meshheading:20129636-Risk Factors, pubmed-meshheading:20129636-Sierra Leone, pubmed-meshheading:20129636-Young Adult
pubmed:year
2010
pubmed:articleTitle
Successful introduction of artesunate combination therapy is not enough to fight malaria: results from an adherence study in Sierra Leone.
pubmed:affiliation
Médecins Sans Frontières (MSF) UK, 67-74 Saffron Hill, London EC1N 8QX, UK. sibylle.gerstl@london.msf.org
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't