Does routine home visiting improve the return rate and outcome of DOTS patients who delay treatment?
AbstractOver a period of 6 months the effect of home visits on compliance with directly observed therapy, short course [DOTS], was studied on 480 new smear-positive tuberculosis patients who had delayed collecting their drugs on one occasion. Patients registered at 15 tuberculosis treatment centers in Baghdad, Iraq, were randomized to an intervention group [receiving home visits from trained personnel] or a control group. Home visits were highly effective in improving the return to treatment of patients who were late for treatment [231/240, 96.3%]. The intervention group showed a higher treatment success rate [94.2% versus 76.7%], lower default rate [0.8% versus 10.0%] and higher smear conversion rate after the end of treatment [92.9% versus 75.0%] than controls. Home visiting by trained personnel significantly improves patient compliance with DOTS
Mohan, A., Nassir, H. & Niazi, A. (2003). Does routine home visiting improve the return rate and outcome of DOTS patients who delay treatment?. EMHJ - Eastern Mediterranean Health Journal, 9 (4), 702-708, 2003 http://www.who.int/iris/handle/10665/119323