Direct observation for tuberculosis treatment

Health-worker DOT was done by health-facility staff or community workers, according to the national tuberculosis programme guidelines. In response to Dermot Maher and colleagues, we have been saying for several years that there are many other components to DOTS than DOT and S; emphasis on mechanical...

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Bibliographic Details
Published in:The Lancet (British edition) 2001-08, Vol.358 (9279), p.421-421
Main Authors: Walley, John D, Khan, M Amir, Newell, James N, Khan, M Hussain
Format: Article
Language:English
Subjects:
Health facilities
Medical personnel
Tuberculosis
Online Access:Get full text
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Summary:Health-worker DOT was done by health-facility staff or community workers, according to the national tuberculosis programme guidelines. In response to Dermot Maher and colleagues, we have been saying for several years that there are many other components to DOTS than DOT and S; emphasis on mechanical supervision of drug intake is likely to lead to poor cure or treatment completion rates. Comparison by geographical area, preferably with randomisation of areas ahead of implementation of the intervention, has advantages, but these must be weighed against the disadvantages of cost and time needed.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(01)05572-6