改善多药耐药结核病患者服药的干预措施:一个范围审查
P Octaviani1, Z Ikawati2, N M Yasin3
1Doctoral Program in Pharmacy, Faculty of Pharmacy, Gadjah Mada University, Yogyakarta, Indonesia.
The Medical journal of Malaysia
|March 30, 2024
概括
干预措施显著改善了对多抗结核病 (MDR-TB) 治疗的坚持,心理咨询是最有效的. 对个性化,具有成本效益的MDR-TB坚持策略需要进一步的研究.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 对抗结核病 (TB) 药物的不服药助长了多药耐药结核病 (MDR-TB) 的传播,这是一个全球性健康威胁.
- 不良坚持延长治疗时间,增加不良事件,增加财务负担,需要有效的干预措施.
研究的目的:
- 进行旨在提高MDR-TB治疗患者的药物坚持性的干预措施的范围审查.
- 确定和综合现有研究,以改善患者遵守MDR-TB治疗的策略.
主要方法:
- 通过使用PubMed,Web of Science和Scopus的数据进行了观察性研究的范围审查.
- 数据合成使用Rayyan AI进行,遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 十一篇文章详细介绍了各种MDR-TB治疗坚持干预措施.
- 心理咨询/教育干预措施显示了最显著的遵守改善.
- 其他有效的干预措施包括药物事件提醒监视器 (MERM),视频直接观察疗法 (VDOT),财政支持,移动健康应用程序和DOTS/DOTS-Plus计划.
- 电子剂量监测 (EDM) 设备对MDR-TB患者坚持治疗的影响有限.
结论:
- 治疗MDR-TB的干预措施可以促进患者的康复.
- 虽然大多数研究显示了显著的改善,但存在异质性.
- 建议进行进一步的研究,以开发个性化,特定于环境的干预措施,并评估其成本效益.
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