Directly observed treatment short-course (DOTS)

Aquitania

DOTS
The most successful and cost-effective treatment strategy against TB Dr. Karel Styblo Objectives:
Decrease the risk of infection Reduce morbidity & the transmission of infection Prevent TB deaths

DOTS: STOP TB Strategy

Identify TB cases in communities around the world, particularly those in developing countries. Treat TB cases by directly observing their medication intake for six to eight months. This is to ensure that medication is taken in the right combination and appropriate dosage in an effort to prevent the development of multidrug resistant TB.

DOTS: 5 Key Elements

1. Government commitment to sustained TB control; 2. Sputum-smear microscopy to detect the infectious cases among those people attending health care facilities with symptoms of pulmonary T13, most importantly cough of three weeks' duration or more,

DOTS: 5 Key Elements

3. Standardized short-course anti-TB treatment for at least all sputum smear-positive pulmonary TB cases, with direct observation of treatment for at least the initial two months; 4. Regular, uninterrupted supply of anti-TB drugs and diagnostics, and 5. Monitoring and accountability system for programme supervision and evaluation of treatment outcome for each patient diagnosed.

DOTS: 5 Components
1. Political commitment with increased and sustained financing Legislation Planning Human resources Management Training

DOTS: 5 Components
2. Case detection through quality-assured bacteriology Strengthening TB laboratories, drug resistance surveillance

DOTS: 5 Components
3. Standardized treatment with supervision and patient support TB treatment and programme management guidelines International Standards of TB Care (ISTC), PPM Practical Approach to Lung Health (PAL) Community-patient involvement

DOTS: 5 Components
4. An effective drug supply and management system Availability of TB drugs TB drug management Global Drug Facility (GDF) Green Light Committee (GLC)

DOTS: 5 Components
5. Monitoring and evaluation system and impact measurement TB recording and reporting systems Global TB Control Report Data and country profiles TB planning and budgeting tool WHO epidemiology and surveillance online training