TB Treatment: DOT vs. VOT
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Abstract
DOT (Directly-Observe Treatment) has been still recommended in the latest WHO’s TB Treatment Guidelines in 2017. But VOT (Video-Observed Treatment) has been developed to reduce time and travelling cost of TB patients. However, under the Non-Family DOT, some TB patients who came to health-service units every day did not actually take TB medicines. Furthermore, for providing DOT service, TB drugs should be inspected for changing colors or deterioration, TB drugs should be kept in the suitable place, severe drug side effects should be looked for and DOT can develop relationship with the patients. Therefore, VOT should not be the main measure in replacement of DOT, but it should only be the supporting activity to strengthen the effectiveness of DOT.
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References
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