2019
DOI: 10.3389/fpubh.2019.00222
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Telemedicine in Resource-Limited Settings to Optimize Care for Multidrug-Resistant Tuberculosis

Abstract: The emergence and spread of multidrug-resistant tuberculosis (MDR-TB) poses a major threat to the global targets for TB control. In recent years, an evolving science and evidence base for MDR-TB has led to much needed changes in international guidelines promoting the use of newer TB drugs and regimens for MDR-TB, however, there remains a significant implementation gap. Due to the complexity of treating MDR-TB, management of cases is often supported by an expert multidisciplinary team, or clinical expert group.… Show more

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Cited by 14 publications
(11 citation statements)
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“…An inventory study in Pakistan highlighted that 78% child TB cases were diagnosed by the non-NTP private providers, which may not be surprising when distance is long to public child TB care; childhood TB under-reporting was highest in these provinces [ 23 ]. We think telemedicine could be used remotely to link PHC to child TB sites for timely diagnoses and management of serious child TB cases and this could address some of the challenges posed by lack of physical health care infrastructure [ 24 , 25 ].…”
Section: Discussionmentioning
confidence: 99%
“…An inventory study in Pakistan highlighted that 78% child TB cases were diagnosed by the non-NTP private providers, which may not be surprising when distance is long to public child TB care; childhood TB under-reporting was highest in these provinces [ 23 ]. We think telemedicine could be used remotely to link PHC to child TB sites for timely diagnoses and management of serious child TB cases and this could address some of the challenges posed by lack of physical health care infrastructure [ 24 , 25 ].…”
Section: Discussionmentioning
confidence: 99%
“… 26–29 In Papua New Guinea, a web-based ‘store and forward’ telemedicine service was used to optimize the treatment of multidrug-resistance TB. 30 In a study of patients with active pulmonary TB, videophone technology was used for directly observed therapy (DOT) of 304 treatment doses. It revealed 95% treatment adherence in a cost-effective manner.…”
Section: Discussionmentioning
confidence: 99%
“…Referral-preparation times were examined in the Collegium Telemedicus system, which at the time of the study comprised 33 clinical networks and 6 educational networks. A clinical case corresponded to a patient, and an educational case corresponded to a case report or a case-management discussion (5). The epoch examined was 8 September 2018 to 1 March 2019, a total of 25 weeks.…”
Section: Methodsmentioning
confidence: 99%