Educational Achievement of Antiretroviral Drugs in Anonymous Clinics At Somdej Prasankharat Hospital, Pra Nakhon Si Ayutthaya Province.

Abstract

     This study aims to study the effectiveness and safety of the use of antiretroviral therapy. This is a retrospective descriptive study. Total number of samples is 31 patients who have been diagnosed with HIV infection between 2009 and 2012 from the HIV clinic. Data collection is from the NAP and Hos XP program. The statistics used in the study were the number and percentage. It was found that patients in a clinical study found that the patients were 16 males; 51.61%, 16 females; 48.39%. Most are aged between 41-50 years and were married. The patient has been infected with the virus through sexual contact. Most use universal health card. Most patients are taking ARV alone; NVP+3TC+AZT, without using PCP/cryptococcosis primary prophylaxis. Antiretroviral drugs have been used for 6-10 years, and patients continually consulted by pharmacists. The effectiveness of antiretroviral drugs is good, most CD4 is in the range of 21-30 is 46.43%. The viral load amount expressed as a log 10 is in the 1.1-1.5 is 91.67%. Moreover, there was one case resistance in the year 2011. Allergic reaction of antiretroviral drugs nevirapine was found 1 case in 2009 and 2010. Main adverse drug reaction was lipodystrophy, peripheral neuritis, and anemia average 6.45%, 3.23% and 12.9% respectively. In conclusion, the results of monitoring patients within four years continuously found that treatment with ARV in Anonymous clinic resuts in better treatment. The pharmaceutical consulting individualized medicine makes cooperation in drug administration. Furthermore, the patient’s safety in the use of antiretroviral is improved.