title: Tuberculosis (HIV-negative people): improving adherence.
abstract: BACKGROUND
  About one third of the world's population has immunological evidence of previous exposure to Mycobacterium tuberculosis. In 2013, an estimated 9.0 million people developed tuberculosis (TB) and 1.5 million died from the disease.
  
  
  METHODS
  We conducted a systematic overview, aiming to answer the following clinical questions: What are the effects of directly observed treatment (DOT) versus self-administered treatment (SAT) in people with tuberculosis without HIV infection? What are the effects of support mechanisms for DOT in people with tuberculosis without HIV infection? We searched: Medline, Embase, The Cochrane Library, and other important databases up to June 2014 (Clinical Evidence overviews are updated periodically; please check our website for the most up-to-date version of this overview).
  
  
  RESULTS
  At this update, searching of electronic databases retrieved 189 studies. After deduplication and removal of conference abstracts, 104 records were screened for inclusion in the overview. Appraisal of titles and abstracts led to the exclusion of 86 studies and the further review of 18 full publications. Of the 18 full articles evaluated, three systematic reviews and one RCT were added at this update. We performed a GRADE evaluation for 12 PICO combinations.
  
  
  CONCLUSIONS
  In this systematic overview, we categorised the efficacy for 13 interventions based on information relating to the effectiveness and safety of directly observed treatment and support mechanisms for directly observed treatment.
authors.affiliation: Kazan Federal University, Kazan, Russia.
authors.forename: Liliya Eugenevna
authors.initials: LE
authors.lastname: Ziganshina
authors.forename: Michael
authors.initials: M
authors.lastname: Eisenhut
mesh_terms: D000995:Antitubercular Agents / Q000008:administration & dosage*; D023801:Directly Observed Therapy / Q000706:statistics & numerical data; D006801:Humans; D012449:Safety; D012648:Self Care / Q000706:statistics & numerical data; D000074822:Treatment Adherence and Compliance / Q000706:statistics & numerical data*; D014376:Tuberculosis / Q000188:drug therapy*
chemical_list: D000995:Antitubercular Agents