NDLI: Low rate of non-compliance to antituberculous therapy under the banner of directly observed treatment short course (DOTS) strategy and well organized retrieval system: a call for implementation of this strategy at all DOTS centers in Saudi Arabia.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chaudhry, Liaqat Ali Al-Tawfiq, Jaffar Ba-Essa, Ebtesam Robert, Asirvatham Alwin
Spatial Coverage	Saudi Arabia
Description	Author Affiliation: Chaudhry LA ( Department of Chest Diseases, Tuberculosis Center Dammam Medical Complex (MOH) Saudi Arabia.); Al-Tawfiq J ( Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.); Ba-Essa E ( Department of Medicine & Endocrinology, Dammam Medical Complex (MOH), Saudi Arabia.); Robert AA ( Department of Endocrinology and Diabetes, Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.)
Abstract	INTRODUCTION: The objective of this study was to show the effectiveness of revised retrieval system on non-compliance. METHODS: We retrospectively evaluated the effectiveness of a revised retrieval system on non-compliance during continuous phase of antituberculous treatment (Jan-2005 to Dec-2010) compared to baseline non-compliance (Jan-2002 to Dec-2004). RESULTS: In the baseline period, 141 of 501 (28%) patients did not attend their first appointment. Of these 141 patients, 63 (45%) patients could be brought back to treatment while 78 patients (16%) dropped out and could not be retrieved. During the 2nd phase after launching a revised retrieval system, 98 of 835 (13%) patients did not attend their first appointment. Using the retrieval system, 79 (81%) patients were brought back for regular follow up, and 19 patients could not be retrieved, a dropout rate of 2.27%. By virtue of revised retrieval system, there was a significant drop in non-compliance by 15% and a decline in net dropout rate by 14%. The number of those brought back to treatment by revised retrieval system almost doubled (81%) compared to 44% retrieval in initial period. CONCLUSION: The revised retrieval system had a significant impact on the reduction of dropout rate and significant improvement in the retrieval of those patients.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2015.21.267.6280
Journal	Pan African Medical Journal
Volume Number	21
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2015-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Antitubercular Agents Administration & Dosage Directly Observed Therapy Medication Adherence Tuberculosis Drug Therapy Therapeutic Use Patient Dropouts Statistics & Numerical Data Retrospective Studies Saudi Arabia
Content Type	Text
Resource Type	Article

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