Remote support of treatment of a patient with tuberculosis with the help of a self-monitoring

The pandemic of a new coronavirus infection COVID-19 has affected almost all spheres of life in Moscow, and, first of all, the medical sector. The universally introduced self-isolation regime also has affected the organization of work with patients with tuberculosis (TB). In order to prevent penetration of COVID-19 into inpatient departments of The Moscow City Scientific and Practical Center for Tuberculosis Control, it was necessary to limit as much as possible the contacts of TB patients inside the departments and to set the minimum occupancy rate of hospital chambers, where TB patients with developed processes, combined HIV/TB infection were on long-term treatment. For the period of high alert, day hospital at home treatment was organized for TB patients without bacteria excretion, including provision of drugs, necessary manipulations and sampling of material for laboratory analysis collection accompanied by daily treatment control using remote technologies. This situation inspired the medical professionals to pay special attention to each patient receiving treatment at home. It was necessary among other things to help patients organize themselves to maintain daily regime and motivate to treatment. The self-monitoring diary, developed by The Moscow City Scientific and Practical the Moscow Department of Healthcare was one of the key tools for remote interaction with patients during the period.

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