Navigation Links
TB Intervention Program Improves Patient Outcomes

According to a study in the January 24/31 issue of JAMA, Patients with Tuberculosis (TB), who participated in an intervention program in West African// country of Senegal, had higher cure and treatment completion rates. The TB intervention program included improved communication with health personnel and community involvement.

Poor adherence to treatment remains a major obstacle in the global fight against tuberculosis (TB). Reasons for nonadherence are complex and involve more than the patients' personal characteristics and attitudes, according to background information in the article.

Factors such as the chronic nature of the disease, poverty, and interacting with physicians, nurses, and other health care workers, all affect access to and compliance with treatment. New strategies to improve access and adherence to treatment are needed.

Sylla Thiam, M.D., of the Programme Tuberculose, Dakar, Senegal and colleagues conducted a study to determine the effectiveness of a strategy developed to address the problem of low adherence and improve treatment outcomes in Senegal.

The randomized controlled trial included 1,522 patients older than 15 years with newly diagnosed pulmonary TB who were randomly assigned to the intervention (n = 778 patients) or control (n = 744 patients) group.

The intervention strategy included reinforced counseling through improved communication between health personnel and patients, decentralization of treatment, choice of directly observed therapy (DOT) supporter by the patient, and reinforcement of supervision activities. In the control group, the usual TB control program procedures remained unchanged. The study was conducted between June 2003 and January 2005 at 16 government district health centers in Senegal.

Treatment was successful for 682 patients (88 percent) in the intervention group compared with 563 patients (76 percent) in the control group. The risk of defaul ting from treatment was nearly 60 percent lower in the intervention group (43 patients [5.5 percent] defaulted from treatment in the intervention group vs. 125 patients [16.8 percent] in the control group). The intervention also significantly decreased the time to defaulting since the start of treatment.

"Control of TB depends on effective treatment as well as effective strategies to support the process of care from detection of disease through the completion of appropriate treatment.

A key aspect of our approach was to identify, based on qualitative studies, an intervention that would be feasible, sustainable, and fully acceptable by the patients and the health care services. This, we believe, is the path toward making TB control more responsive and reflective of local health systems and social constraints and resources.

Our results show that the intervention we tested, consisting of a coherent package of sustainable activities targeting altogether health staff, patients, and communities, did improve treatment outcomes.

This intervention could now be implemented in a stepwise manner throughout Senegal, and we believe that this approach may be generalized within the context of TB control programs in other resource-poor countries," the authors conclude.


Related medicine news :

1. Childhood Asthma Can Be Kept Under Control By Cost-Effective Home Based Interventions
2. Lung Cancer: Nutritional Intervention Comes To The Rescue
3. Early Intervention Required For The Hearing Impaired
4. PMs Intervention Sought To Implement Ban On Smoking In Films
5. Chronic shortage of GPs in Australia, Need for Immediate Intervention
6. Surgical Intervention to Solve Obesity and Related Problems
7. AIIMS Doctors Seeks Ramadoss Intervention For Venugopal’s Remova
8. A brief Intervention Might Help To Deal With Depression
9. Researchers Try Early Surgical Intervention to Treat Parkinsons Symptoms
10. Groundbreaking Asthma Intervention Lessons Help Inner-City Children
11. Medicos Seek NHRC Intervention on User Charges at AIIMS
Post Your Comments:

(Date:6/24/2016)... , ... June 24, 2016 , ... Marcy was in a crisis. Her son James, ... out at his family verbally and physically. , “When something upset him, he couldn’t control ... use it. He would throw rocks at my other children and say he was going ...
(Date:6/24/2016)... ... 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that 20 ... by their peers for this recognition are considered among the top 2 percent of ... honors as members of this year’s Legal Elite Hall of Fame: Miami Shareholders ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing skills ... patients and their families pay tribute to a genetic counselor by nominating him or ... Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome magazine ...
(Date:6/24/2016)... NY (PRWEB) , ... June 24, 2016 , ... ... Haute Living, is proud to recognize Dr. Barry M. Weintraub as a prominent ... “the most beautiful women in the world, and the most handsome men, look ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 2016 Jazz Pharmaceuticals plc (Nasdaq: ... Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended ("HSR"), ... Inc. ("Celator"; Nasdaq: CPXX ) expired effective ... As previously announced on May 31, 2016, ... agreement under which Jazz Pharmaceuticals has commenced a tender ...
(Date:6/26/2016)... , June 26, 2016 ... value-based care operating models within the health care industry ... greater financial efficiency , Deloitte offers a suite ... key business issues impacting efficient cost optimization: labor resource ... , These services facilitate better outcomes and better economics ...
(Date:6/24/2016)... N.J. , June 24, 2016  Collagen ... the design, development and manufacturing of collagen and ... regeneration announced today that Bill Messer ... and Marketing to further leverage the growing portfolio ... medical devices. Bill joins the Collagen ...
Breaking Medicine Technology: