[An analysis of adherence to the "Recommendations for the treatment of human immunodeficiency virus-infected adults" in a penitentiary in Barcelona].
OBJECTIVE
To analyze the adherence to the "Guidelines for the treatment of HIV-infected adults" among HIV-infected prison inmates.


METHODS
A cross-sectional study was conducted in 2010 in the Quatre Camins Prison (Barcelona, Spain). Epidemiological, clinical and therapeutic variables were collected. We verified whether antiretroviral therapy (ART) met the Guidelines and analyzed the variables associated with compliance using bivariate and multivariate analysis.


RESULTS
There were a total of 202 HIV infected prison inmates, 83.2% of whom were on ART. An undetectable viral load (VL) was observed in 80.4% of treated patients. The large majority (86.1%) met the guidelines, and 42.9% of non-compliance to guidelines was because the patients refused ART. More undetectable VL (P=.001; ORA: 4,30, 95%CI: 1,85 to 10.0) was found in those patients following the guidelines.


CONCLUSIONS
Compliance with the guidelines is high, and is significantly associated with undetectable VL. We suggest evaluating the quality of prescriptions periodically, and to correct them if needed.
Servicios Sanitarios Penitenciarios, Departamento de Justicia, Generalitat de Catalunya, Barcelona, España. andres.marco.m@gmail.con
Andrés
A
Marco
Carlos
C
Gallego
Xosé Ramón
XR
Blanco
Arturo
A
Puig
María José
MJ
Argüelles
Laura
L
Moruno
D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000188:drug therapy* / Q000821:virology; D006801:Humans; D008297:Male; D011329:Prisoners; D011330:Prisons; D013030:Spain; D019562:Viral Load
D044966:Anti-Retroviral Agents