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Overdose with HAART: are we managing these patients adequately?
S Afr Med J ; 101(8): 520-1, 2011 Jul 25.
Article en En | MEDLINE | ID: mdl-21920122
Increasing numbers of HIV/AIDS-infected individuals have presented to medical casualty at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) after attempting suicide by overdosing on their antiretroviral therapy. Since 2009, medical gastro-enterology at CMJAH has been the primary specialty unit for cases of accidental or intentional overdose. Psychiatry and other medical sub-specialties are consulted as needed. Our unit sees approximately 1 case a month of accidental/intentional overdose with antiretrovirals. Between January and September 2010, 6% of all overdoses seen at CMJAH were of antiretroviral origin. Supportive care is provided and patients undergo psychiatric evaluation. The information available on overdoses with antiretrovirals is from studies in developed countries, where intravenous drug users and men who have sex with men make up the bulk of the HIV-positive population. This differs significantly from South Africa, which now has the largest antiretroviral programme in the world. With little evidence related to this type of overdose, are we approaching the management, monitoring and follow-up of these patients correctly?
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intento de Suicidio / Infecciones por VIH / Fármacos Anti-VIH / Terapia Antirretroviral Altamente Activa Límite: Adult / Female / Humans Idioma: En Revista: S Afr Med J Año: 2011 Tipo del documento: Article Pais de publicación: Sudáfrica
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intento de Suicidio / Infecciones por VIH / Fármacos Anti-VIH / Terapia Antirretroviral Altamente Activa Límite: Adult / Female / Humans Idioma: En Revista: S Afr Med J Año: 2011 Tipo del documento: Article Pais de publicación: Sudáfrica