Recommendations for Use of Video Directly Observed Therapy During Tuberculosis Treatment - United States, 2023.
MMWR Morb Mortal Wkly Rep
; 72(12): 313-316, 2023 Mar 24.
Article
de En
| MEDLINE
| ID: mdl-36952279
ABSTRACT
U.S. clinical practice guidelines recommend directly observed therapy (DOT) as the standard of care for tuberculosis (TB) treatment (1). DOT, during which a health care worker observes a patient ingesting the TB medications, has typically been conducted in person. Video DOT (vDOT) uses video-enabled devices to facilitate remote interactions between patients and health care workers to promote medication adherence and clinical monitoring. Published systematic reviews, a published meta-analysis, and a literature search through 2022 demonstrate that vDOT is associated with a higher proportion of medication doses being observed and similar proportions of cases with treatment completion and microbiologic resolution when compared with in-person DOT (2-5). Based on this evidence, CDC has updated the recommendation for DOT during TB treatment to include vDOT as an equivalent alternative to in-person DOT. vDOT can assist health department TB programs meet the U.S. standard of care for patients undergoing TB treatment, while using resources efficiently.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Tuberculose
/
Télémédecine
Type d'étude:
Guideline
/
Systematic_reviews
Limites:
Humans
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
MMWR Morb Mortal Wkly Rep
Année:
2023
Type de document:
Article