Eight-day Inpatient Directly Observed Therapy for Antiretroviral Therapy (ART) Failure: A Tool For Preventing Unnecessary ART Changes and Optimizing Adherence Support.

Winchester, Nicole E; Maldarelli, Frank; Mejia, Yolanda; Dee, Nicola; Dewar, Robin; Laidlaw, Elizabeth; Kuriakose, Safia S; Stoll, Pamela et al. · Clin Infect Dis · 2020

case_series · Level IV

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Abstract

Eight-day inpatient directly observed therapy confirmed nonadherence as the major cause of virologic failure for 9 (45%) of 20 highly treatment-experienced persons with human immunodeficiency virus, extensive antiretroviral drug resistance, and high self-reported adherence rates, preventing unnecessary regimen changes.

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