Use of Community‐Based, Directly Observed Therapy for HIV Infection: Lessons Learned for Treatment of Hepatitis C Virus Infection
Author(s) -
Timothy P. Flanigan,
Lynn E. Taylor,
Jennifer A. Mitty
Publication year - 2005
Publication title -
clinical infectious diseases/clinical infectious diseases (online. university of chicago. press)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/427451
Subject(s) - medicine , psychosocial , directly observed therapy , substance abuse , human immunodeficiency virus (hiv) , addiction , tuberculosis , immunology , psychiatry , virus , intensive care medicine , treatment as prevention , virology , antiretroviral therapy , viral load , pathology
Directly observed therapy (DOT) is an effective approach for the treatment of tuberculosis among substance users. We have adapted this model to treat human immunodeficiency virus infection. Our experience suggests that community-based, modified DOT should be explored further as a means to treat infectious diseases and chronic medical illnesses for persons with drug dependence; it may be especially pertinent for the treatment of hepatitis C virus infection. DOT can both optimize adherence and provide a way to offer psychosocial support and linkages to social, addiction, psychiatric, and other services, to help address many of the challenges faced by persons with substance abuse disorders.
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