PRELIMINARY RESULTS OF THE FAMILY-DOT PROGRAM FOR PEDIATRIC PATIENTS WITH DRUG-RESISTANT TUBERCULOSIS IN THE REPUBLIC OF TAJIKISTAN
1Médecins Sans Frontières (MSF), Dushanbe, Republic of Tajikistan
2Médecins Sans Frontières (MSF), Berlin, Germany
3Republican Center for the Protection of the Population from Tuberculosis, Dushanbe, Republic of Tajikistan
4Dushanbe City Pediatric Tuberculosis Hospital, Dushanbe, Republic of Tajikistan
Objective: A description of the protocol of organizational peculiarities of cohort composition and preliminary results of the using the model of TB treatment program under the control of responsible family member Family-DOT (F-DOT) for pediatric patients with drug-resistant (DR) forms of TB (DR-TB) in the Republic of Tajikistan.
Methods: A descriptive analysis of existing MSF program data collected on eleven F-DOT patients between April 2017 and May 2018 is used.
Results: Eleven eligible patients with a stable form of tuberculosis provided the F-DOT program after receiving their prior consent. At this moment, seven of them are continuing therapy, while four of them have successfully completed the treatment. Among the participants of the program are children aged 1 to 17 years old, 54.5% of girls and 54.5% of patients with extensively drug-resistant tuberculosis (XDR TB).
Conclusions: Earlier empirical data and initial results show that there the possibility and viability is the use of models of therapy and home care for pediatric patients with DR-TB in the Republic of Tajikistan.
Keywords: Drug-resistant forms of tuberculosis, MDR-TB, XDR-TB, approaches to the therapy of children, new methods of management of tuberculosis patients, Family-DOT (F-DOT) program.
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Heike Zander, Employee of the International Organization "Médecins Sans Frontières" (Tajikistan)
Adel Springer, Employee of the International Organization "Médecins Sans Frontières" (Tajikistan)
Jarmila Klyeschikova, Medical Coordinator of the International Organization "Médecins Sans Frontières" (Tajikistan)
Sebastian Dietrich, Member of the International Organization "Médecins Sans Frontières" (Germany)
Bobodzhon Sharipov, Deputy Director of the Republican Center for the Protection of the Population from Tuberculosis
Safarali Ismoilov, Phthisiatrician, Dushanbe City Pediatric Tuberculosis Hospital
Conflict of interest: No conflict
Address for correspondence:
Medical Coordinator of the International Organization "Médecins Sans Frontières" (Tajikistan)
734025, Republic of Tajikistan, Dushanbe, Bukhoro str., 5/3
Tel.: (+992) 985 868080
Materials on the topic:
- PREVALENCE OF MYCOBACTERIUM TUBERCULOSIS AMONG CHILDREN AT THE RESERVOIRS OF INFECTION IN THE REPUBLIC OF TAJIKISTAN
- ANTITUBERCULOSIS DRUG ALLERGY IN PATIENTS WITH MULTIDRUG-RESISTANT TUBERCULOSIS
- STIGMA AND DISCRIMINATION ASSOCIATED WITH TUBERCULOSIS
- IMPROVEMENT RESULTS OF DIAGNOSIS AND TREATMENT OF ABDOMINAL TUBERCULOSIS
- ABDOMINAL TUBERCULOSIS: RETURN TO SURGERY
- DYNAMICS OF THE INDICATORS OF LUNG DESTRUCTION AND HORMONAL BACKGROUND AS A PREDICTIVE MARKER OF THE EFFECTIVENESS OF MULTIDRUG RESISTANT TUBERCULOSIS TREATMENT
- ULTRASOUND DIAGNOSTICS OF ABDOMINAL TUBERCULOSIS IN THE CONDITIONS OF THE OUTPATIENT-DIAGNOSTIC DEPARTMENT
- EFFICACY OF TUBERCULOSIS CASES DETECTION AMONG THE POPULATION OF DUSHANBE IN THE REPUBLIC OF TAJIKISTAN
- THE FREQUENCY OF DEVELOPMENT OF TUBERCULOSIS AMONG CITIZENS OF THE REPUBLIC OF TAJIKISTAN, LEAVING TO LABOR MIGRATION
- THE ROLE OF THE IMPLANTABLE PORT SYSTEM FOR THE CENTRAL VENOUS ACCESS IN TREATMENT OF PULMONARY TUBERCULOSIS WITH MULTIPLE AND EXTENSIVELY DRUG RESISTANCE (PRELIMINARY RESULTS)