Directly observed therapy for tuberculosis in a low prevalence region: first experience at the Tuberculosis Dispensary in Lausanne.

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_32606
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Directly observed therapy for tuberculosis in a low prevalence region: first experience at the Tuberculosis Dispensary in Lausanne.
Périodique
Swiss Medical Weekly
Auteur(s)
Dèruaz J., Zellweger J.P.
ISSN
1424-7860
Statut éditorial
Publié
Date de publication
2004
Volume
134
Numéro
37-38
Pages
552-558
Langue
anglais
Résumé
AIM: Evaluation of first experience of the directly observed therapy (DOT) programme for tuberculosis introduced in the Canton of Vaud in 1997. METHOD: Retrospective analysis of tuberculosis patients included in a DOT programme from October 1997 to March 2000 under the supervision of the TB Dispensary in Lausanne. RESULTS: 54 patients were included, 49 of whom were new cases and 5 relapses. 70% were asylum seekers and illegal immigrants. The indications for DOT were immigrant status, social problems, and physical or psychiatric comorbidities. Treatment was fully supervised in 67% and partially in 33%. The outcome was favourable (cure or treatment completion) in 88.9% and unfavourable in 11.1%. A similar success rate was observed in full and partial DOT and there was no difference in success rates between the various structures where DOT was administered. By comparison, the success rate in a historical group from the same institution was 70% in 1990. The biggest problem was communication with the patients and within the team. CONCLUSION: Treatment of tuberculosis under DOT in the Canton of Vaud resulted in improvement of the treatment success rate.
Mots-clé
Adolescent, Adult, Aged, Child, Directly Observed Therapy, Emigration and Immigration, Female, Humans, Male, Middle Aged, Retrospective Studies, Switzerland, Treatment Outcome, Tuberculosis/drug therapy, Tuberculosis, Pulmonary/drug therapy
Pubmed
Web of science
Création de la notice
19/11/2007 12:31
Dernière modification de la notice
20/08/2019 13:18
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