Experience of Applying the "Video-Controlled Treatment" Model of Tuberculosis in the Republic of Uzbekistan

Abstract

BACKGROUND

Uzbekistan has made great strides in reducing tuberculosis (TB) morbidity and mortality. Video-Controlled treatment (VCT) is an alternative to traditional treatment monitoring and has the potential to save time, money, motivation and adherence to TB treatment among patients Study objective. To analyze the effectiveness of VCTof TB in Uzbekistan by the example of Navoi oblast.

Materials and methods: The patients were recruited in Navoi city, Kyzyltepa and Karmanin districts of Navoi region in the period from 2019 to 2021. A total of 51 patients participated in this study, women were 32 (62.7%), men were 19 (37.3%) in the age range of 19 to 93 years. TB 03/1; TB 03/2; TB 01/1; TB 01/2;

Results: The largest number of patients was distributed in the groups from 41 to 50 years old, which was 11 (21.5%) and from 51 to 60 years old, which was 12 (23.6%). By social status: Alcohol abusers - 11 (21,5%), People who use injection drugs - 2 (3.9 %), HIV-positive - 3 (5,8%), from prison - 1 (2,0%), poor material and living conditions - in 21 (41,1%) patients. The majority of patients received VCT in the outpatient phase - 42 (82.4%) and 9 (17.6%) patients were on VCT from day one.  Pulmonary TB process was established in 26 (50.9%) patients, extrapulmonary TBin 23 (45.2%) patients, disseminated TBin 2 (3.9%) patients, about half of them with drug-susceptible - 49.0% of patients.

Conclusions:VCT as a method of treatment control in more age groups from 41 to 60 years old - 23 (45,1%) patients, and from 61 years old and older - 7 (13,7%) patients, and showed itself as a method which allows to reduce time spent by the medical staff on one patient without loss of quality of treatment.