Literature DB >> 20339634

Household members and health care workers as supervisors of tuberculosis treatment.

Ethel Leonor Noia Maciel1, Leticia Molino Guidoni, Ana Paula Brioshi, Thiago Nascimento do Prado, Geisa Fregona, David Jamil Hadad, Lucilia Pereira Molino, Moises Palaci, John L Johnson, Reynaldo Dietze.   

Abstract

OBJECTIVE: To compare tuberculosis cure rates among patients supervised by household members or health care workers.
METHODS: Prospective cohort study of 171 patients treated by the program in Vitoria, Southeastern Brazil, from 2004 to 2007. Each patient was followed-up for six months until the end of the treatment. Of the patients studied, a household member supervised 59 patients and healthcare workers supervised 112 patients. Patients' sociodemographic and clinic data were analyzed. Differences between groups were assessed using chi-square test or Student's t-test. Significance level was set at 5%.
RESULTS: Most patients had smear positive, culture confirmed pulmonary tuberculosis. Two patients were HIV-positive. There were more illiterate patients in the healthcare-supervised group, in comparison to those supervised by their families (p=0.01). All patients supervised by a household member were cured compared to 90% of the patients supervised by health care workers (p = 0.024).
CONCLUSIONS: Successful tuberculosis treatment was more frequent when supervised by household members.

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Year:  2010        PMID: 20339634     DOI: 10.1590/s0034-89102010000200015

Source DB:  PubMed          Journal:  Rev Saude Publica        ISSN: 0034-8910            Impact factor:   2.106


  4 in total

1.  Cost-effectiveness of community health worker versus home-based guardians for directly observed treatment of tuberculosis in Vitória, Espírito Santo State, Brazil.

Authors:  Thiago Nascimento do Prado; Nikolas Wada; Leticia Molino Guidoni; Jonathan E Golub; Reynaldo Dietze; Ethel Leonor Noia Maciel
Journal:  Cad Saude Publica       Date:  2011-05       Impact factor: 1.632

2.  Treatment supporters and their impact on treatment outcomes in routine tuberculosis program conditions in rawalpindi district, pakistan.

Authors:  Munawar Hussain Soomro; Ejaz Qadeer; Muhammad Amir Khan; Odd Morkve
Journal:  Tanaffos       Date:  2012

3.  Adherence interventions and outcomes of tuberculosis treatment: A systematic review and meta-analysis of trials and observational studies.

Authors:  Narges Alipanah; Leah Jarlsberg; Cecily Miller; Nguyen Nhat Linh; Dennis Falzon; Ernesto Jaramillo; Payam Nahid
Journal:  PLoS Med       Date:  2018-07-03       Impact factor: 11.069

4.  People-centred care versus clinic-based DOT for continuation phase TB treatment in Armenia: a cluster randomized trial.

Authors:  Vahe Khachadourian; Nune Truzyan; Arusyak Harutyunyan; Varduhi Petrosyan; Hayk Davtyan; Karapet Davtyan; Martin van den Boom; Michael E Thompson
Journal:  BMC Pulm Med       Date:  2020-04-25       Impact factor: 3.317

  4 in total

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