Antiretroviral Stewardship: A Review of Published Outcomes with Recommendations for Program Implementation.
J Int Assoc Provid AIDS Care
; 19: 2325958219898457, 2020.
Article
en En
| MEDLINE
| ID: mdl-31955657
ABSTRACT
Persons living with HIV (PLWHs) are at high risk for medication errors when hospitalized, but antiretroviral medications are not often evaluated by antimicrobial stewardship programs (ASPs) because they are not specifically discussed in the standards of practice. However, antiretroviral (ARV) stewardship programs (ARVSPs) have been shown to decrease medication error rates and improve other outcomes. The goal of this article is to review published literature on ARVSPs and provide guidance on key aspects of ARVSPs. A MEDLINE search using the term "antiretroviral stewardship" was conducted. Original research articles evaluating ARVSPs in hospitalized, adult PLWHs were included. Six original research articles evaluating unique inpatient ARVSPs met inclusion criteria. All 6 studies evaluating medication errors as the primary outcome found a significant reduction in errors in the postimplementation phase. Based on current standards for ASPs, we propose core elements for ARVSPs. Future organizational guidelines for antimicrobial stewardship should include official recommendations for ARV medications.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones por VIH
/
Antirretrovirales
/
Programas de Optimización del Uso de los Antimicrobianos
/
Directrices para la Planificación en Salud
/
Errores de Medicación
Tipo de estudio:
Guideline
/
Sysrev_observational_studies
/
Systematic_reviews
Aspecto:
Implementation_research
Límite:
Adult
/
Humans
Idioma:
En
Revista:
J Int Assoc Provid AIDS Care
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos