scholarly journals Which adherence measure - self-report, clinician recorded or pharmacy refill - is best able to predict detectable viral load in a public ART programme without routine plasma viral load monitoring?

2016 ◽  
Vol 21 (7) ◽  
pp. 856-869 ◽  
Author(s):  
Legese A. Mekuria ◽  
Jan M. Prins ◽  
Alemayehu W. Yalew ◽  
Mirjam A. G. Sprangers ◽  
Pythia T. Nieuwkerk
Keyword(s):  
Viral Load ◽  
Public Art ◽  
Plasma Viral Load ◽  
Self Report ◽  
Detectable Viral Load ◽  
Adherence Measure ◽  
Report Clinician ◽  
Pharmacy Refill ◽  
Viral Load Monitoring ◽  
Load Monitoring

scholarly journals Impact of the frequency of plasma viral load monitoring on treatment outcomes among children with perinatally acquired HIV

2019 ◽  
Vol 22 (6) ◽  
Author(s):  
Tavitiya Sudjaritruk ◽  
David C Boettiger ◽  
Lam Van Nguyen ◽  
Thahira J Mohamed ◽  
Dewi K Wati ◽  
...  
Keyword(s):  
Viral Load ◽  
Treatment Outcomes ◽  
Plasma Viral Load ◽  
Viral Load Monitoring ◽  
Load Monitoring ◽  
Perinatally Acquired

scholarly journals Evaluation of the Management of Patients with Detectable Viral Load after the Implementation of Routine Viral Load Monitoring in an Urban HIV Clinic in Uganda

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Nsumba Steven Mark ◽  
Musomba Rachel ◽  
Arvind Kaimal ◽  
Mubiru Frank ◽  
Tibakabikoba Harriet ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Viral Load ◽  
Clinical Supervision ◽  
Data Extraction ◽  
Second Line ◽  
Detectable Viral Load ◽  
Viral Load Monitoring ◽  
Load Monitoring ◽  
Adherence Counseling ◽  
Adherence Counselling

Objective. To describe the clinical decisions taken for patients failing on treatment and possible implementation leakages within the monitoring cascade at a large urban HIV Centre in Kampala, Uganda. Methods. As per internal clinic guidelines, VL results >1,000 copies/ml are flagged by a quality assurance officer and sent to the requesting clinician. The clinician fills a “decision form” choosing: (1) refer for adherence counselling, (2) repeat VL after 3 months, and (3) switch to second line. We performed data extraction on a random sample of 100 patients with VL test >1,000 copies/ml between January and August 2015. For each patient, we described the action taken by the clinicians. Results. Of 6,438 patients with VL performed, 1,021 (16%) had >1,000 copies/ml. Of the 100 (10.1%) clinical files sampled, 61% were female, median age was 39 years (IQR: 32–47), 81% were on 1st-line ART, 19% on 2nd-line, median CD4 count was 249 cells/µL (IQR: 145–390), median log10 VL 4.42 (IQR: 3.98–4.92). Doctors’ decisions were; refer for adherence counseling 49%, repeat VL for 25%, and switch to second line for 24% patients. Forty-one percent were not managed according to the guidelines. Of these, 29 (70.7%) were still active in care, 7 were tracked [5 (12.2%) lost to program, 2 (4.9%) dead] and 5 patients were not tracked. Conclusion. Despite the implementation of internal systems to manage patients failing ART, we found substantial leakages in the monitoring “cascade”. Additional measures and stronger clinical supervision are needed to make every test count, and to ensure appropriate management of patients failing on ART.

scholarly journals Routine viral load monitoring and enhanced adherence counselling at a public ART centre in Mumbai, India

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0232576
Author(s):  
Chinmay Laxmeshwar ◽  
Shrikala Acharya ◽  
Mrinalini Das ◽  
Padmaja Keskar ◽  
Amar Pazare ◽  
...  
Keyword(s):  
Viral Load ◽  
Public Art ◽  
Viral Load Monitoring ◽  
Load Monitoring ◽  
Adherence Counselling

Quantitative viral load monitoring and cidofovir therapy for the management of BK virus-associated nephropathy in children and adults1

2003 ◽  
Vol 75 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Abhay Vats ◽  
Ron Shapiro ◽  
Parmjeet Singh Randhawa ◽  
Velma Scantlebury ◽  
Acar Tuzuner ◽  
...  
Keyword(s):  
Viral Load ◽  
Bk Virus ◽  
Viral Load Monitoring ◽  
Load Monitoring

HIV-1 RNA Viral Load Monitoring in HIV-Infected Drug Users on Antiretroviral Therapy

2002 ◽  
Vol 29 (3) ◽  
pp. 270-274
Author(s):  
Christine Laine ◽  
Daozhi Zhang ◽  
Walter W. Hauck ◽  
Barbara J. Turner
Keyword(s):  
Viral Load ◽  
Antiretroviral Therapy ◽  
Drug Users ◽  
Viral Load Monitoring ◽  
Load Monitoring ◽  
Hiv 1
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