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A Meta-Analysis of Self-Administered vs Directly Observed Therapy Effect on Microbiologic Failure, Relapse, and Acquired Drug Resistance in Tuberculosis Patients
Author(s) -
Jotam G. Pasipanodya,
Tawanda Gumbo
Publication year - 2013
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cit167
Subject(s) - medicine , tuberculosis , confidence interval , directly observed therapy , drug resistance , mycobacterium tuberculosis , observational study , meta analysis , incidence (geometry) , gastroenterology , surgery , pathology , physics , optics , microbiology and biotechnology , biology
Preclinical studies and Monte Carlo simulations have suggested that there is a relatively limited role of adherence in acquired drug resistance (ADR) and that very high levels of nonadherence are needed for therapy failure. We evaluated the superiority of directly observed therapy (DOT) for tuberculosis patients vs self-administered therapy (SAT) in decreasing ADR, microbiologic failure, and relapse in meta-analyses.

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