Enhancing management of tuberculosis treatment with video directly observed therapy in New York City
Enhancing management of tuberculosis treatment with video directly observed therapy in New York City
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DOI：
10.5588/ijtld.15.0738
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发表时间：
2016-05-01
影响因子：
4
通讯作者：
Burzynski, J.
中科院分区：
文献类型：
--
作者：
Chuck, C.;Robinson, E.;Burzynski, J.
SETTING: Directly observed therapy (DOT), the standard of care for monitoring patients on treatment for tuberculosis (TB), requires substantial health department resources, and can be inconvenient and disruptive for patients.OBJECTIVE: To determine whether video technology for remote observation of patients on anti-tuberculosis treatment (VDOT) is as effective as in-person DOT.DESIGN: Eligible TB patients in New York City were prospectively enrolled in VDOT from September 2013 to September 2014. We compared treatment outcomes and worker output for VDOT and in-person DOT.RESULTS: Among 390 patients on DOT for the treatment of TB, 61 (16%) were on VDOT and 329 (84%) on in-person DOT. Adherence to scheduled VDOT sessions was 95% (3292/3455) compared to 91% (32 204/35 442) with in-person DOT (P < 0.01). VDOT enabled a DOT worker to observe a maximum of 25 patients per day, similar to DOT workers who observed patients in clinic (n = 25), but twice that of DOT workers who observed patients in the community (n = 12). Treatment completion with VDOT was similar to that with in person DOT (96% vs. 97%, P = 0.63). The primary problems encountered during VDOT sessions were interruption of video and audio connectivity.CONCLUSION: Implementation of VDOT resulted in successful anti-tuberculosis treatment outcomes while maximizing health department resources.
