Volume : 13, Issue : 05, May – 2026
Title:
A REVIEW ON ASSESSMENT OF MEDICATION ADHERENCE IN HOSPITALISED PNEUMONIA PATIENTS
Authors :
Alfiya Sudheer F*, Dr.Nithin Manohar R, Ms.Shinju Somaraj, Sandra S S, Chandini Nair, Reeba Roy, Dr.Prasobh G R
Abstract :
Pneumonia continues to be a major public health concern worldwide, particularly in developing countries, contributing significantly to morbidity, mortality, and healthcare burden. Among hospitalized patients, effective management of pneumonia largely depends on appropriate and timely pharmacotherapy, especially antibiotic administration. Medication adherence, defined as the extent to which a patient’s medication-taking behavior corresponds with prescribed recommendations, plays a critical role in determining therapeutic outcomes.
Poor adherence to prescribed regimens, including incorrect dosing, missed doses, or premature discontinuation of therapy, can result in treatment failure, prolonged hospital stay, increased healthcare costs, and the emergence of antimicrobial resistance. Recent evidence suggests that adherence to guideline-concordant therapy significantly improves clinical outcomes and reduces mortality rates. However, adherence levels among hospitalized pneumonia patients remain suboptimal, with reported rates ranging between 30% and 65%. Assessment of medication adherence using validated tools such as the Adherence to Refills and Medications Scale (ARMS) is essential for identifying non-adherence and implementing targeted interventions. This review aims to provide a comprehensive overview of medication adherence in hospitalized pneumonia patients, including its importance, prevalence, influencing factors, assessment methods, clinical consequences, and strategies to improve adherence through patient education, clinical pharmacist involvement, and antimicrobial stewardship programs.
Keywords: Pneumonia, Medication Adherence, ARMS Scale
Cite This Article:
Please cite this article in press Alfiya Sudheer F et al., A Review On Assessment Of Medication Adherence In Hospitalised Pneumonia Patients., Indo Am. J. P. Sci, 2026; 13(05).
REFERENCES:
1. Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, et al. Diagnosis and treatment of adults with community-acquired pneumonia. Am J Respir Crit Care Med. 2025;211(4):450–75.
2. Ranzani OT, Prina E, Menéndez R, Ceccato A, Cilloniz C, Ferrer M, et al. New perspectives on community-acquired pneumonia in 2024. Chest. 2024;165(3):678–86.
3. Sharma SK, Mishra HK. Clinical profile and outcomes of hospitalized pneumonia patients in India. J Clin Diagn Res. 2022;16(5):OC10–OC14.
4. Ho PM, Bryson CL, Rumsfeld JS. Medication adherence: its importance in cardiovascular outcomes. Circulation. 2009;119(23):3028–35.
5. Kripalani S, Yao X, Haynes RB. Interventions to enhance medication adherence in chronic medical conditions. Arch Intern Med. 2007;167(6):540–50.
6. Lee JY, Kusek JW, Greene PG, Bernhard S, Norris K, Smith D, et al. Development and validation of the ARMS scale for measuring medication adherence. Med Care. 2010;48(6):567–72.
7. Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure. J Clin Hypertens. 2008;10(5):348–54.
8. World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: WHO; 2003.
9. World Health Organization. The WHO AWaRe antibiotic book. Geneva: WHO; 2024.
10. Pratiwi AD, Saharman YR, Karuniawati H. Impact of antimicrobial stewardship programs on clinical outcomes and antibiotic use. J Multidiscip Healthc. 2026;19:102–15.