Evaluation of the treatment adherence in TB-patients: experience of the graduated scale in the in-patient clinic
Abstract
The scale for assessing the level of adherence of tuberculosis patients to treatment for individual assessment in the early stages of treatment was developed. A five-point scale was used, followed by division into two groups: patients with a high degree of adherence to treatment and patients with a low degree of adherence.
The scale was validated in 185 patients with tuberculosis in accordance with the criteria: 1. early discharge from the hospital due to a violation of the regimen; 2. The conversion rate of culture. An assessment was made of the sensitivity, specificity and prognostic value of assessing adherence based on a scale. The results of sensitivity and specificity at the level of 70-75% for both criteria indicate the desirability of further research.
It is assumed that the assessment scale of the patient’s adherence to treatment allows to predict the cases with low effectiveness of treatment and develop an individual program to improve it.
About the Authors
A. V. Filippov
ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
I. N. Melnikova
ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
S. A. Kosenkov
ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
E. P. Kubrakova
ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
A. I. Titomer
ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
A. I. Kazakov
ГБУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
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Review
For citations:
Filippov A.V., Melnikova I.N., Kosenkov S.A., Kubrakova E.P., Titomer A.I., Kazakov A.I. Evaluation of the treatment adherence in TB-patients: experience of the graduated scale in the in-patient clinic. Tuberculosis and socially significant diseases. 2019;(1):42-49. (In Russ.)
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