|Use Of Video Observed Therapy As An Alternative To Directly Observed Therapy In Drug Resistant TB.
|L. Dolan J. Keane A. McLaughlin
|St James Hospital
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|CF and Pulmonary Infections
|Video observed therapy (VOT) is a novel alternative to Directly observed therapy (DOT) to assist compliance with Tuberculosis (TB) treatment. Mobile phone technology can be used in which patient’s video themselves taking their medicines. It is time stamped and sent to their healthcare provider.
Herein, we describe a patient with a Rifampicin resistant TB who was initially started on conventional DOT. He had 76/133 (57%) doses observed by DOT. Since the rate of failure to observe with DOT was unacceptable he was transferred to VOT. Using VOT 138/180 (76%) doses were observed. This case highlights an increase in the observed doses using VOT by comparison to DOT. We are currently examining compliance, cost and patient satisfaction in a larger study.