Community-based treatment of multidrug-resistant tuberculosis in Lima, Peru: 7 years of experience.
Programs implementing community-based directly observed therapy (DOT) have demonstrated success in the treatment of patients with tuberculosis. However, given complexities in the management and treatment of patients infected with multidrug-resistant tuberculosis (MDR-TB), the utilization of community-based DOT to treat MDR-TB patients has only recently been successfully attempted. We describe the first such program and highlight the crucial components and most critical challenges to creating a successful community-based MDR-TB treatment program.
Shin
Sonya
S
Division of Social medicine and Health Inequalities, Brigham and Women's Hospital, 1620 Tremont St 3rd Floor, Boston, MA 02120-1613, USA. sshin@partners.org
Furin
Jennifer
J
Bayona
Jaime
J
Mate
Kedar
K
Kim
Jim Yong
JY
Farmer
Paul
P
D003153:Community Health Services / Q000458:organization & administration*; D003159:Community-Institutional Relations; D023801:Directly Observed Therapy; D006282:Health Personnel / Q000193:education / Q000458:organization & administration; D006284:Health Plan Implementation; D006801:Humans; D007318:Inservice Training; D010568:Peru; D016730:Program Development; D018088:Tuberculosis, Multidrug-Resistant / Q000188:drug therapy*