Factores asociados al abandono de terapia antirretroviral de alta efectividad en pacientes con VIH SIDA en un hospital de tercer nivel / Factors associated with the abandonment of highly effective antiretroviral therapy in patients with HIV in a third-level hospital
Acta méd. colomb
; 43(1): 31-36, ene.-mar. 2018. tab
Article
em Es
| LILACS, COLNAL
| ID: biblio-949532
Biblioteca responsável:
CO70
RESUMEN
Resumen Introducción:
la baja adherencia en el tratamiento antirretroviral de alta efectividad TARGA se asocia a peores desenlaces en salud; además de las comorbilidades infecciosas, muchos pacientes con VIH/SIDA presentan asociado psicopatologia, farmacodependencia y problemas socioeconómicos. Existe alta frecuencia de abandono a la terapia en nuestro medio.Objetivo:
identificar las variables asociadas al abandono de terapia TARGA en pacientes con VIH de un hospital de tercer nivel en Colombia. Métodos y resultados estudio descriptivo corte transversal se incluyeron 51 pacientes pertenecientes al programa durante un año; 12 pacientes (23%) tuvieron adherencia al tratamiento, 32 (62%) tenían antecedente de consumo de sustancias psicoactivas y 33 (64%) tenían asociada alguna patología psiquiátrica. Los factores que se asociaron a la no adherencia fueron la psicopatología y la pobre red de apoyo.Conclusión:
En la población a estudio se documenta alta tasa de abandono a la terapia TARGA, probablemente asociado a enfermedad mental y pobre red social. (Acta Med Colomb 2018; 43 31-36).ABSTRACT
Abstract Introduction:
the low adherence in the highly effective antiretroviral treatment HAART is associated with worse health outcomes. In addition to infectious comorbidities, many patients with HIV / AIDS have associated psychopathology, drug dependence and socioeconomic problems. There is a high frequency of abandonment of therapy in our environment.Objective:
to identify the variables associated with the abandonment of HAART therapy in patients with HIV from a third level hospital in Colombia. Methods andResults:
descriptive cross-sectional study 51 patients belonging to the program during one year were included; 12 patients (23%) had adherence to treatment, 32 (62%) had a history of psychoactive substance use and 33 (64%) had some psychiatric pathology. The factors that were associated with non-adherence were psychopathology and the poor support network.Conclusion:
high rate of abandonment of HAART therapy is documented in the study population, probably associated with mental illness and poor social network. (Acta Med Colomb 2018; 43 31-36).Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Síndrome da Imunodeficiência Adquirida
/
HIV
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Es
Revista:
Acta méd. colomb
Assunto da revista:
MEDICINA
Ano de publicação:
2018
Tipo de documento:
Article