Ouédraogo M, Kouanda S, Dembélé M, Ouédraogo S M, Badoum G, Ouédraogo G, Bambara M, Yaogho M G, Drabo Y J
Department of Pneumology, Yalgado Ouedraogo University Health Centre, Ouagadougou, Burkina Faso.
Int J Tuberc Lung Dis. 2006 Feb;10(2):188-91.
Five tuberculosis (TB) diagnosis and treatment centres in Ouagadougou, Burkina Faso.
To identify obstacles to the direct observation of anti-tuberculosis treatment (DOT) so that it can be adapted to local contexts.
A cross-sectional study conducted between August and September 2002 among new and retreatment TB cases in the initial phase of treatment. Information and suggestions were collected on obstacles encountered in DOT.
Among 74 patients interviewed, the main difficulties were the lack of assiduity among health personnel, the daily travel, the long distances, the high transportation costs and the high number of tablets. The main suggestions were a reduction in the number of tablets taken at a time, decentralisation of places where tablets are to be taken and weekly provision of drugs.
Obstacles to DOT should be addressed to optimise the effectiveness of anti-tuberculosis treatment.
布基纳法索瓦加杜古的五个结核病诊断与治疗中心。
确定直接观察抗结核治疗（DOT）的障碍，以便使其适应当地情况。
2002年8月至9月间对处于治疗初始阶段的新结核病病例和复治病例开展的一项横断面研究。收集了有关直接观察治疗中遇到的障碍的信息和建议。
在接受访谈的74名患者中，主要困难包括卫生人员缺乏勤勉、日常出行、路途遥远、交通成本高以及药片数量多。主要建议包括一次服用的药片数量减少、服药地点分散以及每周提供药物。
应解决直接观察治疗的障碍，以优化抗结核治疗的效果。
