Improvement in Tuberculosis Outcomes With a Combined Medical and Social Approach.

Details

Serval ID
serval:BIB_814DC8217DA5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Improvement in Tuberculosis Outcomes With a Combined Medical and Social Approach.
Journal
Frontiers in medicine
Author(s)
Mazza-Stalder J., Chevallier E., Opota O., Carreira A., Jaton K., Masserey E., Zellweger J.P., Nicod L.P.
ISSN
2296-858X (Print)
ISSN-L
2296-858X
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
6
Pages
135
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Setting: Studies performed locally in Switzerland in the late eighties reported unsatisfactory treatment outcomes. Better outcomes were observed since the introduction of directly observed therapy (DOT) in the late nineties and improvement in social support in recent years. Design: retrospective study of treatment outcomes for all tuberculosis (TB) patients notified in Vaud County (VD), Switzerland, between, 1st of January 2010 and 31st of December of 2014. Results: 375 patients were notified in VD during the study period. The global outcome was successful in 90.1% of patients (338/375). In 183 culture and PCR positive pulmonary TB, the documented cure rate was 57.9% (106/183), and the treatment completion was 59/183 (32.2%), i.e., a treatment success of 90.2%. DOT was applied globally in 234/375 (62.4%) and in 64/67 of the asylum seekers (AS) (95.5%) followed at the dispensary. Treatment outcomes were successful in 60/67 (89.6%) AS. Discussion: Improvements in tuberculosis outcomes resulted not only from the introduction of DOT in VD in the nineties but also from a change in the management, with increased attention to the social problems faced by the migrants. Conclusion: A combined medical and social approach of TB care in VD improved treatment outcomes.
Keywords
directly-observed therapy, treatment adherence, tuberculosis in Switzerland, tuberculosis outcomes, tuberculosis social approach
Pubmed
Open Access
Yes
Create date
02/10/2019 16:57
Last modification date
29/01/2021 7:25
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