DOT-VOT Implementation of Tuberculosis Patients between 2012-2018

Aim: Evaluating yearly distribution of Directly Observed Therapy(DOT) and DOT variations through years at registered tuberculosis (TB) patients.Method: Retrospective analysis of TB patients’ files who registered Ankara 3rd TB Dispensary between 2012-2018 (Video Observed Therapy -VOT- was implemented at Ankara TB Dispensaries in 2012).Findings: In 7 years, 812 patients were registered. During treatment follow up, 38 patients who had diagnosis other than TB, excluded from study. Mean age was 47 (13-93). 51% were males and 49% were pulmonary TB. 15/774 cases who diagnosed TB after death and didn’t get any TB treatment, were excluded from DOT data. Files of 759 patients analyzed for DOT; only 2 of them treated without direct observation. During treatment, 78% (593) of cases were observed by health care workers (HCWs). Localization of HCWs and DOT type were: 63% (372) at Family Health Centers (FHC), 23% (138) VOT by TB Dispensary staff, 7% (40) at 3rd TB Dispensary, 6% (34) at other health care facilities and 1% (9) HCW who visits patient at home. In January 2018, Ministery of Family and Social Policies funding was started for native TB patients who need economical support. First rule of MoFSP funding is getting TB treatment under observation of TB Dispensary staff. 13 TB cases of 2017 and 37 cases of 2018 got this money support.Result and conclusion: In 7 years, total percentage of HCW-DOT is high in our region. Although 2/3 of HCW-DOT were done at PHCs between 2012-2...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Tuberculosis Source Type: research