{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:20:47Z","timestamp":1761744047722,"version":"3.28.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,12,18]],"date-time":"2014-12-18T00:00:00Z","timestamp":1418860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the study was to determine the prevalence of potential clinically significant drug interactions (<jats:styled-content style=\"fixed-case\">CSDI<\/jats:styled-content>s) in HIV\u2010positive individuals and to identify associated risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted including all <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected out\u2010patients attending the Pharmacy Service of a regional reference hospital in Murcia, south\u2010eastern <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>pain. The complete treatment was screened for possible <jats:styled-content style=\"fixed-case\">CSDI<\/jats:styled-content>s using the Spanish College of Pharmacists' online software resource, <jats:sc>bot<\/jats:sc>. Additionally, the severity level of the <jats:styled-content style=\"fixed-case\">CSDI<\/jats:styled-content>s involving antiretroviral (<jats:styled-content style=\"fixed-case\">ARV<\/jats:styled-content>) drugs was compared with that established in the specific antiretroviral database InteraccionesHIV.com. Multivariate logistic regression was used to identify associated risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and sixty\u2010eight patients were included in the study. A total of 292 potential drug interactions were identified, of which 102 (34.9%) were <jats:styled-content style=\"fixed-case\">CSDI<\/jats:styled-content>s, of which 52.9% involved <jats:styled-content style=\"fixed-case\">ARV<\/jats:styled-content> drugs. Seven therapeutic drug classes were involved in 75% of <jats:styled-content style=\"fixed-case\">CSDI<\/jats:styled-content>s (protease inhibitors, benzodiazepines, nonsteroidal anti\u2010inflammatory drugs, nonnucleoside reverse transcriptase inhibitors, corticosteroids, antithrombotics and proton pump inhibitors). Factors independently associated with <jats:styled-content style=\"fixed-case\">CSDI<\/jats:styled-content>s were treatment with more than five drugs [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 15.1; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 6.3\u201336.2], and treatment with a protease inhibitor (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 5.3; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.4\u201311.74).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings of this study suggest that the prevalence of clinically relevant drug\u2212drug interactions is high in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected patients, and could represent a major health problem. Awareness, recognition and management of drug interactions are important in optimizing the pharmaceutical care of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected patients and helping to prevent adverse events and\/or loss of efficacy of the drugs administered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12205","type":"journal-article","created":{"date-parts":[[2014,12,19]],"date-time":"2014-12-19T09:00:19Z","timestamp":1418979619000},"page":"273-279","source":"Crossref","is-referenced-by-count":21,"title":["Identification of potential clinically significant drug interactions in <scp>HIV<\/scp>\u2010infected patients: a comprehensive therapeutic approach"],"prefix":"10.1111","volume":"16","author":[{"given":"C","family":"Iniesta\u2010Naval\u00f3n","sequence":"first","affiliation":[{"name":"Department of Hospital Pharmacy Queen Sofia Hospital of Murcia  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JJ","family":"Franco\u2010Miguel","sequence":"additional","affiliation":[{"name":"Department of Hospital Pharmacy Queen Sofia Hospital of Murcia  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JJ","family":"Gasc\u00f3n\u2010C\u00e1novas","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Murcia  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Rentero\u2010Redondo","sequence":"additional","affiliation":[{"name":"Department of Hospital Pharmacy Queen Sofia Hospital of Murcia  Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1060028013504075"},{"key":"e_1_2_6_3_1","unstructured":"APEAS Study Patient Safety in Primary Health Care.Ministry of health and consumer affairs.2008. 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