专业药房干预措施有利于接受HIV暴露后预防的患者
Journal of the American Pharmacists Association : JAPhA
|September 11, 2023
概括
专业药房在提供及时获得昂贵的人类免疫缺陷病毒暴露后预防 (PEP) 药物方面发挥着至关重要的作用. 他们提供重要的财政援助,临床干预和患者咨询,以确保治疗的有效性.
科学领域:
- 药房实践 在药房实践.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 专业药房管理复杂,高成本的药物治疗疾病,如艾滋病毒.
- 人类免疫缺陷病毒暴露后预防 (PEP) 需要迅速启动和患者教育才能有效.
研究的目的:
- 在专业药房分析PEP推.
- 证明药房在财政援助,临床干预和PEP患者咨询方面的作用.
主要方法:
- 对接受PEP的52名患者进行了观察后期的表格审查.
- 从2017年1月至2022年7月的电子药物记录中收集的数据.
- 分析的PEP疗法:拉尔特格拉维尔 (RAL) + 埃姆特里西塔宾/特诺福维尔双醇烟酸 (FTC/TDF) 和多卢特格拉维尔 (DTG) + FTC/TDF.
主要成果:
- 根据保险状况和方案,成本节省有所不同:RAL+FTC/TDF节省了1692.60美元 (保险) 和218.40美元 (无保险);DTG+FTC/TDF节省了676.20美元 (保险) 和2725.50美元 (无保险).
- 为所有患者提供药剂师咨询,接受率为74.5%.
- 在29.4%的PEP转诊中进行了临床干预.
结论:
- 培培药物是昂贵的和时间敏感的,需要干预和咨询.
- 专业药房对于确保患者通过财政援助,咨询和PEP临床支持获得护理至关重要.
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