{"title":"Dissolved Bictegravir/Emtricitabine/Tenofovir Alafenamide Improves Medication Adherence.","authors":"Matthew J Grant","doi":"10.1016/j.pedhc.2025.03.008","DOIUrl":null,"url":null,"abstract":"<p><p>The availability of single-tablet regimens for pediatric patients living with perinatally-acquired HIV continues to lag behind those in the adult population, presenting a unique challenge to providers, particularly in the setting of complex care needs. Presented is a 7-year-old male living with perinatally-acquired HIV complicated by developmental delay, seizure disorder, and oral-motor dysfunction. To support medication adherence, caregivers dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide, with follow-up showing maintenance of virologic suppression, no adverse side effects, and improved adherence to medication based on parental report and pharmacy refill history. This is the first known published case report of dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide in a pediatric patient.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2025.03.008","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
The availability of single-tablet regimens for pediatric patients living with perinatally-acquired HIV continues to lag behind those in the adult population, presenting a unique challenge to providers, particularly in the setting of complex care needs. Presented is a 7-year-old male living with perinatally-acquired HIV complicated by developmental delay, seizure disorder, and oral-motor dysfunction. To support medication adherence, caregivers dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide, with follow-up showing maintenance of virologic suppression, no adverse side effects, and improved adherence to medication based on parental report and pharmacy refill history. This is the first known published case report of dissolved low-dose bictegravir/emtricitabine/tenofovir alafenamide in a pediatric patient.
期刊介绍：
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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