logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Fulltext. Directly observed therapy for tuberculosis in rural South Africa, 1991 through 1994.

    Article - En anglais

    Fulltext.

    Objectives 

    This paper describes an audit of a community-based tuberculosis treatment program involving directly observed therapy in South Africa.

    Methods

    A program audit of 2473 consecutive tuberculosis patients in Hlabisa Health District, KwaZulu/Natal, South Africa, was conducted between 1991 and 1994.

    Results

    Monthly admissions increased from 34 per month in 1991 to 66 in 1994.

    Of 2186 patients managed in Hlabisa, 1903 (87%) received directly observed therapy.

    Of those receiving directly observed therapy, 1034 (55%) were supervised by volunteers ; 743 (72%) of these were supervised by storekeepers.

    Among those patients managed locally, 1679 (85%) of 1967 surviving patients completed treatment.

    Completion rates for patients supervised by health workers and non-health workers were the same.

    Completion fell from a high of 90% in 1992 to 78% in 1994.

    Mortality increased from 5% in 1991 to 10% in 1994.

    Conclusions

    Community-based directly observed therapy that uses an intermittent drug regime and volunteers as supervisors can achieve high treatment completion rates for tuberculosis, even in resource-poor settings.

    Mots-clés Pascal : Tuberculose, Mycobactériose, Bactériose, Infection, Chimiothérapie, Antituberculeux, Traitement, Milieu rural, République Sud Africaine, Afrique, Diagnostic, Observance médicamenteuse, Superviseur, Homme, Evaluation, Programme sanitaire, Santé communautaire

    Mots-clés Pascal anglais : Tuberculosis, Mycobacterial infection, Bacteriosis, Infection, Chemotherapy, Antituberculous agent, Treatment, Rural environment, South Africa, Africa, Diagnosis, Drug compliance, Supervisor, Human, Evaluation, Sanitary program, Community health

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0396282

    Code Inist : 002B02S07. Création : 10/04/1997.