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标题：Directly observed therapy for tuberculosis: the Harlem Hospital experience, 1993.
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作者：W el-Sadr ; F Medard ; V Berthaud 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：1996
卷号：86
期号：8 Pt 1
页码：1146-1149
出版社：American Public Health Association
摘要：OBJECTIVES. A directly observed therapy program was established at Harlem Hospital, New York, NY, in 1993 to promote high tuberculosis treatment completion rates. METHODS. The Harlem program used an on-site surrogate family model. Treatment completion rate, visit adherence rate, human immuno-deficiency virus seroprevalence, and time to sputum culture conversion were assessed. RESULTS. Out of 145 enrolled patients with suspected and confirmed tuberculosis, 95 (92 confirmed and 3 suspected) continued treatment. The visit adherence rate was 91.1 /- 7.9%, with one patient (1%) lost to follow-up. CONCLUSION. High rates of treatment completion and visit adherence were achieved because of unique program characteristics. Thus, directly observed therapy is advocated as a means of ensuring treatment completion.