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Pharmacoepidemiology of antiretroviral drugs in a teaching hospital in Lagos, Nigeria.

Identifieur interne : 000767 ( PubMed/Corpus ); précédent : 000766; suivant : 000768

Pharmacoepidemiology of antiretroviral drugs in a teaching hospital in Lagos, Nigeria.

Auteurs : I A Oreagba ; S O Usman ; S O Olayemi ; K A Oshikoya ; O. Opanuga ; T A Adeyemo ; O A Lesi ; A N Dodoo ; A S Akanmu

Source :

RBID : pubmed:25709134

English descriptors

Abstract

Prescribing, adherence, and adverse drug events to HAART in a large antiretroviral programme in Lagos was evaluated.

PubMed: 25709134

Links to Exploration step

pubmed:25709134

Le document en format XML

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<div type="abstract" xml:lang="en">Prescribing, adherence, and adverse drug events to HAART in a large antiretroviral programme in Lagos was evaluated.</div>
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<PMID Version="1">25709134</PMID>
<DateCreated>
<Year>2015</Year>
<Month>02</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>10</Month>
<Day>01</Day>
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<Year>2015</Year>
<Month>10</Month>
<Day>28</Day>
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<ISSN IssnType="Print">0016-9560</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>48</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2014</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Ghana medical journal</Title>
<ISOAbbreviation>Ghana Med J</ISOAbbreviation>
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<ArticleTitle>Pharmacoepidemiology of antiretroviral drugs in a teaching hospital in Lagos, Nigeria.</ArticleTitle>
<Pagination>
<MedlinePgn>194-203</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Prescribing, adherence, and adverse drug events to HAART in a large antiretroviral programme in Lagos was evaluated.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">A retrospective 5 year open cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">The AIDS Prevention Initiative in Nigeria (APIN) clinic at LUTH is one of the United States Presidential Emergency Plan for AIDS Relief (PEP-FAR) funded centers for HIV relief program in Nigeria Participants The case files of 390 patients on HAART and attending the APIN clinic were reviewed sequel to random selection.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Demographics of the patients and pattern of antiretroviral (ARV) combination drugs prescribed were extracted from their case files. The details of the adverse drug events (ADEs) were extracted from drug toxicity forms regularly filled for each patient. A Chi-square test with Yates correction was used to determine the association between adherence and therapeutic outcome.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 2944 prescriptions were assessed. Zidovudine + lamivudine + nevirapine (35.87%) and stavudine + lamivudine + nevirapine (35.63%) were the most frequently prescribed combinations. Over 2000 ADEs were reported with cough (13.3%), fever (8.75%) and skin rashes (8.01%) being the most frequently reported. Drug adherence was associated with good therapeutic outcome (χ(2) = 115.60, p<0.0001).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Zidovudine + lamivudine + nevirapine was the most frequently prescribed ARV combination. Cough was the most frequently reported ADE. Interventions aimed at rational prescribing of ARV drugs and improving adherence to antiretroviral drugs is essential for good therapeutic outcome in the treatment of HIV infection.</AbstractText>
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<Affiliation>Department of Pharmacology, Therapeutics and Toxicology, College of Medicine, University of Lagos, Lagos, Nigeria, 12003 ; National Pharmacovigilance Centre, National Agency for Food and Drug Administration and Control, Abuja, Nigeria.</Affiliation>
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<Affiliation>Department of Pharmacology, Therapeutics and Toxicology, College of Medicine, University of Lagos, Lagos, Nigeria, 12003.</Affiliation>
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<Affiliation>Department of Pharmacology, Therapeutics and Toxicology, College of Medicine, University of Lagos, Lagos, Nigeria, 12003.</Affiliation>
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<Affiliation>Department of Pharmacology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.</Affiliation>
</AffiliationInfo>
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<ForeName>O</ForeName>
<Initials>O</Initials>
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<Affiliation>AIDS Prevention Initiative in Nigeria (APIN) Clinic, Lagos University Teaching Hospital, Lagos, Nigeria, 12003.</Affiliation>
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<LastName>Adeyemo</LastName>
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<Affiliation>AIDS Prevention Initiative in Nigeria (APIN) Clinic, Lagos University Teaching Hospital, Lagos, Nigeria, 12003 ; Department of Haematology and Blood Transfusion, University of Lagos, Lagos, Nigeria.</Affiliation>
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<Affiliation>AIDS Prevention Initiative in Nigeria (APIN) Clinic, Lagos University Teaching Hospital, Lagos, Nigeria, 12003.</Affiliation>
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<LastName>Dodoo</LastName>
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<Initials>AN</Initials>
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<Affiliation>Centre for Clinical Pharmacology and Therapeutics University of Ghana Medical School Accra Ghana.</Affiliation>
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<LastName>Akanmu</LastName>
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<Affiliation>AIDS Prevention Initiative in Nigeria (APIN) Clinic, Lagos University Teaching Hospital, Lagos, Nigeria, 12003 ; Department of Haematology and Blood Transfusion, University of Lagos, Lagos, Nigeria.</Affiliation>
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<Country>Ghana</Country>
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