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Pharmacy Act, 1974 (Act No. 53 of 1974)

Board Notices

A Pharmacist who provides Pharmacist-Initiated Management of Antiretroviral Therapy (PIMART) services in South Africa: Scope of Practice, Competency Standards and the Criteria for Accreditation of a Pharmacist Initiated Management of Antiretroviral Therapy (PIMART) Course

Part 2: Competency Standards for a Pharmacist who provides Pharmacist-Initiated Management of Antiretroviral Therapy (PIMART) Services

Domain 4: Implement processes to identify and manage co-morbidities and opportunistic infections related to HIV

 

INTRODUCTION

 

The competencies required in the domain implement processes to identify and manage co-morbidities and opportunistic infections related to HIV

are:

 

4.1 Manage HIV co-morbidities;
4.2 Identify and manage common opportunistic infections;
4.3 Manage TB and HIV co-infection; and
4.4 Promote TB prevention.

 

DOMAIN 4: IMPLEMENT PROCESSES TO IDENTIFY AND MANAGE CO-MORBIDITIES AND OPPORTUNISTIC INFECTIONS RELATED TO HIV

COMPETENCIES

BEHAVIOURAL STATEMENTS
4.1 Manage HIV co-morbidities
4.1.1 Describing and applying the management of diseases as HIV co-morbidities.
• Type 2 Diabetes as an HIV co-morbidity.
• Hypertension as an HIV co-morbidity.
• Asthma and COPD as an HIV co-morbidity.
• Epilepsy as an HIV co-morbidity.
• Hypertriglyceridaemia and hypercholesterolaemia as HIV co-morbidities.
4.2 Identify and manage common opportunistic infections
4.2.1 Demonstrating an understanding to identify and manage opportunistic infections, including:
• Pneumocystis Carinii Pneumonia.
• Respiratory Distress.
• Kaposi Sarcoma.
• Cryptococcal meningitis.
• Herpes Zoster.
4.3 Manage TB and HIV co-infection
4.3.1 Demonstrating an understanding of TB diagnosis in HIV infected adults.
4.3.2 Demonstrating an understanding of managing TB/HIV co-infection.
4.3.3 Identifying and describing TB/HIV drug interactions and shared side effects.
4.3.4 Promoting adherence to TB treatment and ART.
4.4 Promote TB prevention
4.3.5 Screening for TB in adults and children and know when to refer patients for further care if TB is suspected.
4.3.6 Application of TB-Preventative Therapy (TPT)

Range: dosage, eligibility, monitoring, adherence.