scholarly journals Association between Compliance Level on Fixed-Dose Combination Antiretroviral Drug and CD4 Level among HIV Patients

2020 ◽  
Author(s):  
Fadhil Ilham Mustafa ◽  
◽  
Nurfitri Bustamam ◽  
Andri Pramesyanti ◽  
◽  
...  
Keyword(s):  
Significant Relationship ◽  
Fixed Dose Combination ◽  
Hiv Care ◽  
Fixed Dose ◽  
People Living With Hiv ◽  
Hiv Patients ◽  
Drug Induced ◽  
Cross Sectional ◽  
Dose Combination ◽  
Hiv Aids

Background: People living with HIV / AIDS (PLWHA) have weak immune systems and are prone to infection. Therefore, PLWHA must take antiretroviral (ARV) to maintain their immunity. This study aimed to determine the relationship between the level of adherence to taking ARV fixed-dose combination (FDC) drugs and CD4 levels of HIV patients. Subjects and Method: This was a cross-sectional study conducted at Pengayoman Cipinang Hospital, Indonesia, in 2018. Total of 91 HIV patient over 17 years of age, had or had received FDC ARV therapy for at least 1 year, and did not experience drug-induced hepatitis were enrolled in this study. The dependent variable was CD4 level. The independent variable was level of adherence to taking ARV fixed-dose combination (FDC). The data were taken from the Voluntary Counseling and Testing Poli Pengayoman Cipinang Hospital. This study used secondary data from the Overview of HIV Care and ARV Therapy. The data were analyzed using Chi-square. Results: A total of 65.93% HIV patients had a good level of medication adherence and 79.12% had an increase of CD4 levels. There was a significant relationship between adherence to taking FDC ARV drugs and CD4 levels (OR = 6.50; 95% CI = 2.15 to 19.62; p<0.001), and it was statistically significant. Conclusion: There is a significant relationship between the level of adherence to taking FDC ARV drugs and CD4 levels. Therefore, patients must receive education and support to improve adherence to taking ARV drugs. Keywords: antiretroviral, CD4, fixed-dose combination, adherence to taking medication, people with HIV / AIDS Correspondence: Fadhil Ilham Mustafa. Faculty of Medicine, Universitas Pembangunan Nasional Veteran, Jakarta. Jl. RS Fatmawati, Pondok Labu, South Jakarta. Email: [email protected]. Mobile: 081283681755. DOI: https://doi.org/10.26911/the7thicph.02.03

scholarly journals Outcome of Fixed Dose Combination of Tenofovir, Lamivudine and Dolutegravir in Rural HIV Care Facility in Nigeria

2021 ◽  
Vol 11 (12) ◽  
pp. 1-8
Author(s):  
Ogbuagu Chukwuanugo Nkemakonam ◽  
Ogbuagu Ekenechukwu Nkiloka ◽  
Okoh Emeka Emmanuel
Keyword(s):  
Viral Load ◽  
Combination Therapy ◽  
Sub Saharan Africa ◽  
Fixed Dose Combination ◽  
Hiv Care ◽  
Fixed Dose ◽  
People Living With Hiv ◽  
Age Group ◽  
Cd4 Counts ◽  
Dose Combination

Background: Antiretroviral therapy (ART) has significantly increased the lifespan of people living with HIV. Currently, fixed dosed combination therapy (Tenofovir, Lamivudine, and Dolutegravir) is being introduced in most countries in the Sub- Saharan Africa. There is need for a clinical and immunological assessment of HIV patients transitioned to this new therapy over a period of 2 years. Objectives: To determine the proportion of patients whose viral load was suppressed to <20 copies/ml following two years therapy with Dolutegravir-based fixed-dose combination therapy. Methods: This retrospective cohort study was carried out in a Comprehensive Healthcare Centre (CHC), a facility affiliated with Nnamdi Azikiwe University Teaching Hospital Nigeria. The primary outcome measure was the proportion of patients whose viral load was suppressed to <20 copies/ml. The plasma viral load (HIV-RNA) assay was done using real time PCR and CD4+ T- lymphocyte (CD4+) counts were estimated using Flow Cytometry. The exclusion criteria were patients who has invalid data base and patients with comorbidities associated with HIV. Results: A total of 537 HIV1 sero-positive patients were enrolled for ART care over a period of 2 years (2017-2018). Females in the age group (41-50 years) constituted the bulk (36.9%) of the patients whilst the least (5.3%) were males in the age group (8 to 30 years). The mean CD4 count of patients was 847.35cells/mm3. More females (45.9%) had CD4+counts over 500cells/mm3 whilst the percentage of males with CD4+ cell counts over 500cells/mm3 was 43.8%. Majority, 405 constituting 75.4% of the patients have suppressed viral load (<20 copies/ml) signifying that the centre is achieving success with respect to service delivery and ART. Patients with unsuppressed viral loads were more among Females with CD4+ counts in the range of 200-499 cells/mm3and this may be as a result of other associated factors which will be elucidated in future studies. Conclusion: Dolutegravir-based fixed-dose combination therapy suppressed viral load to <20 copies/ml in more than 75% of patients receiving the therapy. Enhanced adherence and effective doctor-patient relationship could be associated with the viral suppression observed in this study. Key words: Immunology, virology, HIV Outcome, Dolutegravir-based combination therapy, anti retroviral therapy.

scholarly journals PENGARUH PENGGUNAAN SEDIAAN FIXED DOSE COMBINATION (FDC) DIBANDINGKAN DENGAN TABLET LEPAS OBAT ANTI-TUBERKULOSIS TERHADAP PENINGKATAN NILAI SGPT DAN SGOT PADA PASIEN TUBERKULOSIS DI BALAI BESAR KESEHATAN PARU MASYARAKAT MAKASSAR

2019 ◽  
Vol 23 (1) ◽  
pp. 32-34
Author(s):  
Munawarah Munawarah ◽  
M Natsir Djide ◽  
Arif Santoso ◽  
Elly Wahyudin ◽  
Sartini Sartini ◽  
...  
Keyword(s):  
Fixed Dose Combination ◽  
Fixed Dose ◽  
Drug Induced ◽  
Probability Sampling ◽  
Consecutive Sampling ◽  
Dose Combination

Penelitian ini bertujuan untuk menganalisis pengaruh pemberian terapi Fixed Dose Combinaton (FDC) dibandingkan dengan tablet lepas Obat Anti Tuberkulosis (OAT) terhadap resiko terjadinya Drug Induced Hepatotoxicity (DIH) yang ditandai dengan peningkatan nilai SGPT dan SGOT pada penderita Tuberkulosis. Desain penelitian yang digunakan adalah penelitian observasional non eksperimen dengan rancangan deskriptif-analitik. Pengambilan sampel dilakukan dengan teknik non-probability sampling dengan cara consecutive sampling. Jumlah sampel 30 pasien, terdiri dari kelompok FDC dan kelompok tablet lepas jumlah masing-masing 17 dan 13 sampel. Dianalisis dengan uji statistik metode Mann-Whitney U. Hasil penelitian menunjukkan bahwa selisih nilai SGPT dan SGOT antara kelompok FDC dan kelompok tablet lepas menunjukkan perbedaan yang signifikan (p>0,05).

scholarly journals KADAR SERUM GLUTAMIC OXALOACETAT TRANSAMINASE DAN SERUM GLUTAMIC PYRUVIC TRANSAMINASE PADA PASIEN TUBERKULOSIS PARU SELAMA DUA BULAN BERJALANNYA PEMBERIAN OBAT ANTI TUBERKULOSIS KOMBINASI DOSIS TETAP

e-CliniC ◽  
2014 ◽  
Vol 2 (3) ◽  
Author(s):  
Ayu R. Pribadini Nelwan ◽  
Stella Palar ◽  
Julia C. M. Lombo
Keyword(s):  
Pulmonary Tuberculosis ◽  
Serum Levels ◽  
Fixed Dose Combination ◽  
World Health ◽  
Fixed Dose ◽  
Glutamic Pyruvic Transaminase ◽  
Cross Sectional ◽  
The World ◽  
Dose Combination ◽  
Health Organization

Abstract: Tuberculosis (TB) is still a health problem around the world. According to statistics of the World Health Organization (WHO) showed that Indonesia’s ranking were down from third to fifth in the world. However there are also challenges in the treatment of tuberculosis worldwide and in Indonesia, like treatment failure, dropping out of treatment, and inappropriate treatment. This study aimed to compare the serum levels of SGOT (AST) and SGPT (ALT) in patients with pulmonary TB during two months administration of OAT KDT. This study was a cross sectional analytic study using secondary data and blood sample from patients with pulmonary TB. The samples in this study was patients with pulmonary tuberculosis, pulmonary tuberculosis first category, pulmonary tuberculosis BTA smear (+), pulmonary tuberculosis with controlled hypertension, pulmonary tuberculosis suspected MDR, pulmonary tuberculosis with secondary infections, pulmonary tuberculosis on treatment, and pulmonary tuberculosis which dropping put of treatment. The analysis of data changes on SGOT levels before and after administration of Anti-Tuberculosis Drugs (OAT) shows that the value of zcount: 2,223 >ztable: 1,645 with a significance value of p= 0,026 < 0,05. This indicates that there is an effect of the Anti Tuberculosis Drugs (OAT) fixed-dose combination toward SGOT levels. The analysis of data changes on SGPT levels before and after administration of Anti-Tuberculosis Drugs (OAT) shows that the value of zcount: 2,045 >ztable: 1,645 with a significance value of p= 0,041 < 0,05. This indicates that there is an effect of the Anti Tuberculosis Drugs (OAT) fixed-dose combination toward SGPT levels. There are a significant correlation between serum levels of glutamic oxaloacetat transaminase and glutamic pyruvic transaminase in patients with pulmonary tuberculosis during two months administration of anti-tuberculosis medication with a fixed-dose combination and an increasing levels of SGOT and SGPT in pulmonary tuberculosis patients.     Abstrak: Penyakit Tuberkulosis (TB) masih merupakan masalah kesehatan di dunia. Menurut data statistik World Health Organization (WHO) menunjukkan Indonesia turun dari peringkat tiga menjadi peringkat kelima dunia. Namun masih terdapat pula tantangan dalam pengobatan TB di dunia dan Indonesia, antara lain kegagalan pengobatan, putus pengobatan, dan pengobatan yang tidak tepat. Penelitian ini ditujukan untuk mengetahui perbandingan kadar serum SGOT dan SGPT pada pasien TB Paru selama dua bulan pemberian OAT KDT. Penelitian ini merupakan penelitian analitik cross sectional dengan menggunakan data sekunder dan pengambilan sampel darah pada pasien TB Paru. Pada penelitian ini sampel yang digunakan adalah penderita TB Paru, TB Paru kategori 1, TB paru BTA (+), TB Paru dengan Hipertensi terkontrol, TB paru suspek MDR, TB Paru dengan infeksi sekunder, TB paru on treatment, dan TB paru putus obat. Hasil analisis data perubahan kadar SGOT sebelum dan setelah diberikan Obat Anti Tuberkulosis menunjukkan bahwa nilai zhitung: 2,223 >ztabel : 1,645 dengan nilai signifikansi p= 0,026 < 0,05. Hal ini menunjukkan bahwa terdapat pengaruh pemberian Obat Anti Tuberkulosis (OAT) kombinasi dosis tetap terhadap kadar SGOT. Hasil analisis data perubahan kadar SGPT sebelum dan setelah diberikan Obat Anti Tuberkulosis menunjukkan bahwa nilai zhitung: 2,045 >ztabel : 1,645 dengan nilai signifikansi p= 0,041 < 0,05. Hal ini menunjukkan bahwa terdapat pengaruh pemberian Obat Anti Tuberkulosis (OAT) kombinasi dosis tetap terhadap kadar SGPT. Terdapat hubungan yang signifikan antara kadar serum glutamic oxaloacetic transaminase dan serum glutamic pyruvic transaminase pada pasien tuberkulosis paru selama dua bulan berjalannya pemberian obat anti tuberkulosis kombinasi dosis tetap dan terdapat peningkatan kadar SGOT dan SGPT pada pasien tuberkulosis paru.

scholarly journals Studi Efektifitas Antiretroviral Regimen Obat Kombinasi Dosis Tetap (Tenofovir/Lamivudin/Efavirenz) Berdasarkan Peningkatan Kadar Cd4 T-Limfosit (Studi dilakukan di Intalasi Farmasi Rumah Sakit X Surabaya)

2018 ◽  
Vol 2 (1) ◽  
pp. 22-28
Author(s):  
Putri Kusuma Wardani ◽  
Ninik Mas Ulfa ◽  
A.C Aditya Natalia
Keyword(s):  
Immune Deficiency ◽  
Immune Deficiency Syndrome ◽  
Acquired Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Fixed Dose Combination ◽  
Fixed Dose ◽  
Dose Combination ◽  
Cluster Of Differentiation ◽  
Acquired Immune Deficiency ◽  
Hiv Aids

ABSTRAKHIV adalah virus yang secara bertahap menyerang sistem kekebalan tubuh manusia. HIV dapat menyebabkan AIDS (Acquired Immune Deficiency Syndrome) dan sel yang terinfeksi yang memiliki molekul Cluster of Differentiation 4 (CD4). Pengobatan dengan antiretroviral memiliki mekanisme tindakan untuk mencegah replikasi virus yang secara bertahap menurunkan jumlah virus dalam darah. Penelitian ini observasional yang dilakukan secara retrospektif selama 2 tahun (Januari 2014 - Desember 2015) pada pasien HIV / AIDS denganjumlah 51 pasien rawat jalan. Hasil studi observasional menunjukkan bahwa pengobatan dengan antiretroviral regimen obat kombinasi dosis tetap (Tenofovir 300 mg + Lamivudin 300 mg + Efavirenz 600 mg) mengalami peningkatan jumlah CD4 selama terapi dan analisis statistik deskriptif menunjukkan bahwa ada perbedaansebelum dan sesudah terapi, sehingga dapat disimpulkan bahwa antiretroviral regimen obat kombinasi dosis tetap efektif.Kata Kunci: HIV / AIDS, CD4 T-Limfosit, Tenofovir, Lamivudin, Efavirenz.ABSTRACTHIV is a virus that gradually attack the human immune system. HIV can lead to the AIDS (Acquired Immune Deficiency Syndrome) and infected cells that have molecul Cluster of Differentiation 4 (CD4). Treatment withantiretroviral have mechanism of action to prevent replication virus which is step by step decrease the amount of virus in blood. This observasional study conducted retrospectively during 2 years (Januari 2014 - December2015) againt patient HIV/AIDS with 51 outpatients. The result of the observational study showed that treatment with Antiretroviral Fixed Dose Combination (Tenofovir 300 mg + Lamivudin 300 mg + Efavirenz 600 mg) had increased CD4 level during therapy and descriptive statistic analysis showed that there was a differences in preand post theraphy, so if could be concluded that Antiretroviral Fixed Dose Combination administration was effective.Key Words: HIV/AIDS, CD4 T-Limfosit, Tenofovir, Lamivudin, Efavirenz.

scholarly journals A Study of Liver Function Tests in Patients Receiving Four Drugs Regimen in Initial Two Months as Antitubercular Drugs

2013 ◽  
Vol 23 (2) ◽  
pp. 27-29
Author(s):  
Saifun Nahar Faiz ◽  
Mahmudul Haque ◽  
Kamal Hossain ◽  
ASM Towhidul Alam
Keyword(s):  
Liver Function ◽  
Prothrombin Time ◽  
Normal Subjects ◽  
Fixed Dose Combination ◽  
Fixed Dose ◽  
Case Group ◽  
Cross Sectional ◽  
Intensive Phase ◽  
Antitubercular Drugs ◽  
Dose Combination

Biochemical monitoring of liver function is essential because Anti Tubercular Therapy (ATT) induced hepatotoxicity can cause permanent injury to liver and death. This cross-sectional comparative study was conducted in department of Biochemistry of Chittagong Medical College during the period of July 2009- Jun 2010 to determine the association of Anti-TB treatment to alter the liver function in patients of intensive phase of tuberculosis taking Four Fixed Dose Combination of Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. A total of 100 subjects were enrolled in this study. They were divided into two groups. Group A (case) was diagnosed case of tuberculosis and had taken anti TB drugs (four Fixed dose combination) at least for fifteen days and group B (control) was consisting of normal subjects. Serum ALT, AST, Bilirubin and prothrombin time were measured. It was found, that out of 70 subjects 20% had increased level of serum ALT, 17.1% had increased level of serum AST, 20% had increased level of serum bilirubin and only 2.9% had increased level of prothrombin time in case group. Finally, determination of liver functions in patients receiving Anti TB therapy (in intensive phase) should be done irrespective of presence or absence of established risk factors, to minimize not only the incidence but also the morbidity and mortality. JCMCTA 2012 ; 23 (2): 27-29

scholarly journals A comparison of treatment outcomes among HIV positive tuberculosis patients receiving DOTS and fixed dose combination in Visakhapatnam

2019 ◽  
Vol 6 (4) ◽  
pp. 1780
Author(s):  
Sai Sushma Kuppli ◽  
Devi Madhavi Bhimarasetty ◽  
Siva Kumar Lotheti
Keyword(s):  
Treatment Outcomes ◽  
Communicable Disease ◽  
Treatment Success ◽  
Fixed Dose Combination ◽  
Fixed Dose ◽  
Hiv Positive ◽  
Hiv Patients ◽  
Chi Square ◽  
Significant Difference ◽  
Dose Combination

Background: Tuberculosis is a communicable disease which requires special attention in HIV patients. According to newer guidelines, the treatment regimen for tuberculosis has been changed from intermittent DOTS to daily FDC. This study was taken up to explore effectiveness of fixed dose combination in comparison to intermittent DOTS. Objective was to compare the treatment outcomes for tuberculosis among HIV positive TB patients receiving intermittent DOTS with those receiving daily fixed dose combination (FDC).Methods: A retrospective cohort study was done during November 2017. The data was collected from patient records in an ART centre, attached to King George Hospital, Visakhapatnam. All the HIV patients newly registered for anti-tubercular treatment at the ART center, during 1st quarter of 2016(intermittent DOTS) were compared with those registered during 1st quarter of 2017(FDC). The treatment outcomes include (1) treatment success (completed/ cured), and (2) other treatment outcomes (lost to follow up (LFU), Death). Data was analysed using MS Excel. Association of factors affecting treatment outcomes was tested using chi-square test.Results: Out of a total 83 patients, 34 were on intermittent DOTS and 49 on FDC. The percentage of treatment success in intermittent DOTS was higher than FDC (p=0.06, chi-square value=3.42). The percentage of deaths in FDC is high when compared to intermittent DOTS (P=0.74, chi-square=3.1762). In subject receiving FDC, it was observed that more females had treatment success as compared to males (p=0.28, chi square=1.13).Conclusions: There is no statistically significant difference in the TB treatment outcomes of intermittent DOTS and FDC.

scholarly journals Spiritual Needs and Their Correlation with Characteristics of People Living with HIV/AIDS: A Cross-Sectional Study

2021 ◽  
Vol 9 (T6) ◽  
pp. 31-35
Author(s):  
Witdiawati Witdiawati ◽  
Kusman Ibrahim ◽  
Neti Juniarti ◽  
Bambang Aditya Nugraha ◽  
Risna Ayuningsih ◽  
...  
Keyword(s):  
Significant Relationship ◽  
Well Being ◽  
Cross Sectional Study ◽  
Spiritual Needs ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Living With Hiv ◽  
Hiv Aids

BACKGROUND: Spirituality is an essential factor for HIV/AIDS patients. Spirituality helps a person to achieve balance, improves health, well-being, and adapt to illness. There are several factors related to the spiritual needs of people living with HIV/AIDS (PLWHA). One of them is the characteristic of PLWHA. AIM: This study aimed to analyze the relationship between spiritual needs with characteristic PLWHA. METHODS: A cross-sectional study design that included 103 PLWHA was conducted from July 2020 to August 2020 in HIV Service Clinic, Garut Regency, Indonesia. We used Spiritual Needs Questionnaire 2.1 (SpNQ 2.1) to collect the data. Chi-square was used for variable analysis. RESULTS: The dimension of religious needs has the highest score mean = 13.51, SD = 5.434, and existence needs have the lowest score with mean = 10.49, SD = 4.752 compared to other dimensions. The Chi-square test results showed that there was a significant relationship between gender (p = 0.012) and length of diagnosis (p = 0.019) on the spiritual needs of PLWHA. CONCLUSION: Spiritual needs have a significant relationship with the characteristics of PLWHA. All dimensions of spiritual needs become essential for people with HIV/AIDS.

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