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Directly Observed Treatment (DOT)

Directly Observed Treatment (DOT). Dr. Seren Arpaz Nazilli Tuberculosis Dispensary (TB-D). Directly Observed Treatment Short Course (DOTS). Political commitment Bacteriological diagnosis Standard, short course treatment regimens used with direct observation. Regular drug supply

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Directly Observed Treatment (DOT)

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  1. Directly Observed Treatment(DOT) Dr. Seren Arpaz Nazilli Tuberculosis Dispensary (TB-D)

  2. Directly Observed Treatment Short Course (DOTS) • Political commitment • Bacteriological diagnosis • Standard, short course treatment regimens used with direct observation. • Regular drug supply • Recording, reporting and analysing

  3. Nazilli TB-D DOT Application, 1st of April 2000 Regional TB Meetings, 2001 Pilot Applications in DOT, 2003(Nazilli TB-D, Izmir Eşrefpaşa TB-D, Samsun 2 TB-D’s ) Aydın TB Association Dispensary, Denizli TB-D..... Tuberculosis Control Book for Turkey, 2003 Provincial TB Control Coordinators Educational Meeting, Antalya 2003 Provincial TB Control Coordinators Educational Meeting, Nyssa, Aydın 2004

  4. Sakarya TB-D, Aydın Bakanlık TB-D, Denizli TB-D, Aydın Söke TB-D, Aydın Çine TB-D, Niğde TB-D, Düzce TB-D, Çanakkale TB-D, İstanbul (5 TB-D)…2002, 2003… New Recording System Initiated Turkish Thoracic Society Symposium, Ankara 24th March 2005 Order of Ministry of Health Undersecretary Provincial TB Control Coordinators Training, Nazilli, Aydın 2005 TB Control Program Review with WHO 2006

  5. * * * * * * * * * * * * * * * * * * * * * * * * * * * Provinces applying DOT totally or partially

  6. When drugs are given to patients, many of them do not use drugs as ordered. • It is not possible to foresee which patient can use drugs appropriately. During Directly Observed Treatment Education Enablers Incentives It is important that the providers should be willing and task oriented.

  7. With Directly Observed Treatment Cure rates increase Relapses decrease Secondary drug resistance decreases Patient numbers decrease in the community One TB patient’s cure is the prevention of a few casesTo understand tuberculosisTo believe in directly observed treatment

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