Evidence map›Paper›PMID 38715574›Full record

ReviewOpen forum infectious diseases2024

Managing Modern Antiretroviral Therapy in the Intensive Care Unit: Overcoming Challenges for Critically Ill People With Human Immunodeficiency Virus.

Daniel B Chastain, Patrick J Tu, Marisa Brizzi, Chelsea A Keedy, Aubrey N Baker, Brittany T Jackson, Amber F Ladak, Leslie A Hamilton, Nicholas R Sells, Andrés F Henao-Martínez and 2 more

Abstract readReview
In one paragraph

Review in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Significant Mortality Reduction from SeverePathogens (Basel, Switzerland) · 2025
    Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Daniel B ChastainDepartment of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Albany, Georgia, USA.ORCID https://orcid.org/0000-0002-4018-0195
Patrick J TuDepartment of Pharmacy, Charlie Norwood Veterans Affairs Medical Center, Augusta, Georgia, USA.ORCID https://orcid.org/0000-0003-4782-1538
Marisa BrizziDepartment of Pharmacy, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
Chelsea A KeedyDepartment of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Savannah, Georgia, USA.
Aubrey N BakerDepartment of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Albany, Georgia, USA.
Brittany T JacksonDepartment of Pharmacy, Mount Sinai Morningside, New York, New York, USA.ORCID https://orcid.org/0000-0001-5184-1537
Amber F LadakDivision of Infectious Diseases, Augusta University, Augusta, Georgia, USA.
Leslie A HamiltonCollege of Pharmacy, University of Tennessee Health Science Center, Knoxville, Tennessee, USA.
Nicholas R SellsDivision of Infectious Diseases, Mount Sinai Morningside, New York, New York, USA.
Andrés F Henao-MartínezDivision of Infectious Diseases, University of Colorado, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0001-7363-8652
Kathleen A McManusDivision of Infectious Diseases and International Health, University of Virginia School of Medicine, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0001-5786-0018
David B CluckDepartment of Pharmacy, University of Virginia Health, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0003-3656-1144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

People with human immunodeficiency virus (HIV) have a 50% excess risk for intensive care unit (ICU) admission, often for non-HIV-related conditions. Despite this, clear guidance for managing antiretroviral therapy (ART) in this setting is lacking. Selecting appropriate ART in the ICU is complex due to drug interactions, absorption issues, and dosing adjustments. Continuing ART in the ICU can be challenging due to organ dysfunction, drug interactions, and formulary limitations. However, with careful consideration, continuation is often feasible through dose adjustments or alternative administration methods. Temporary discontinuation of ART may be beneficial depending on the clinical scenario. Clinicians should actively seek resources and support to mitigate adverse events and drug interactions in critically ill people with HIV. Navigating challenges in the ICU can optimize ART and improve care and outcomes for critically ill people with HIV. This review aims to identify strategies for addressing the challenges associated with the use of modern ART in the ICU.

Indexed as

antiretroviral agentscritical careHIV infectionsHIV integrase inhibitorsintensive care units

Identifiers

PMID38715574
PMCPMC11075789

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.