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    Jan 26, 2021
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    Treatment of multidrug-resistant tuberculosis in a remote, conflict-affected area of the Democratic Republic of Congo.

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    Authors
    Shanks, L
    Masumbuko, E W
    Ngoy, N M
    Maneno, M
    Bartlett, S
    Thi, S S
    Shah, T
    Affiliation
    Médecins Sans Frontières, Amsterdam, The Netherlands; Medecins
    Issue Date
    2012-05-04
    
    Metadata
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    Journal
    International Journal of Tuberculosis and Lung Disease
    Abstract
    The Democratic Republic of Congo is a high-burden country for multidrug-resistant tuberculosis. Médecins Sans Frontières has supported the Ministry of Health in the conflict-affected region of Shabunda since 1997. In 2006, three patients were diagnosed with drug-resistant TB (DR-TB) and had no options for further treatment. An innovative model was developed to treat these patients despite the remote setting. Key innovations were the devolving of responsibility for treatment to non-TB clinicians remotely supported by a TB specialist, use of simplified monitoring protocols, and a strong focus on addressing stigma to support adherence. Treatment was successfully completed after a median of 24 months. This pilot programme demonstrates that successful treatment for DR-TB is possible on a small scale in remote settings.
    URI
    http://hdl.handle.net/10144/271998
    DOI
    10.5588/ijtld.11.0240
    PubMed ID
    22565108
    Language
    en
    ISSN
    1815-7920
    ae974a485f413a2113503eed53cd6c53
    10.5588/ijtld.11.0240
    Scopus Count
    Collections
    TB

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