Open AccessAssessment of the implementation of DOTS strategy in two chest facilities in Alexandria, Egypt
Author(s) -
Azza Ali El-Mahalli,
Bendou Abdelaziz
Publication year - 2007
Publication title -
eastern mediterranean health journal/eastern mediterranean health journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 47
eISSN - 1687-1634
pISSN - 1020-3397
DOI - 10.26719/2007.13.5.1085
Subject(s) - medicine , checklist , medical record , tuberculosis , conformity , audit , sputum , cohort , directly observed therapy , schedule , family medicine , surgery , pathology , psychology , political science , computer science , law , cognitive psychology , operating system , management , economics
We conducted a cohort analysis of all patients with tuberculosis (TB) attending 2 chest facilities in Alexandria, Egypt for the year 2003. A pre-coded checklist was used for auditing medical records. Conformity to the DOTS drug regimen during the continuation phase of therapy, conformity to the recommended schedule of sputum smear microscopy, and quality of registration of medical records were the 3 variables that significantly predicted treatment success. About half the patients received poor quality care. Strict adherence to standardized DOTS strategy is essential to bring TB under control. The overall quality index devised in this study may be used to assess and improve overall quality of antituberculosis care.