Assessment of the implementation of DOTS strategy in two chest facilities in Alexandria, Egypt.

Autor: Elmahalli AA; Department of Health Administration and Planning, High Institute of Public Health, Alexandria University, Alexandria, Egypt., Abdel-Aziz BF
Jazyk: angličtina
Zdroj: Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit [East Mediterr Health J] 2007 Sep-Oct; Vol. 13 (5), pp. 1085-97.
DOI: 10.26719/2007.13.5.1085
Abstrakt: We conducted a cohort analysis of all patients with tuberculosis (TB) attending 2 chest facilities in Alexandria, Egypt for the year 2003. A pre-coded checklist was used for auditing medical records. Conformity to the DOTS drug regimen during the continuation phase of therapy, conformity to the recommended schedule of sputum smear microscopy, and quality of registration of medical records were the 3 variables that significantly predicted treatment success. About half the patients received poor quality care. Strict adherence to standardized DOTS strategy is essential to bring TB under control. The overall quality index devised in this study may be used to assess and improve overall quality of antituberculosis care.
Databáze: MEDLINE