Abstract
Directly observed treatment (DOT) has been strictly implemented in Beijing since 1978. This study evaluates the role of directly observed treatment in containing and treating the tuberculosis (TB) epidemic in Beijing by analyzing a complete set of epidemiological data and long-term dynamic observation data in order to summarize experiences and facilitate sustainable development. DOT can directly improve the cure rate and lower the TB infection rate, transmission parameters, TB prevalence, TB incidence, drug resistance rate, and TB mortality. The implementation of the DOT also can improve the compliance of TB chemoprophylaxis.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Arnadottir, T., Rieder, H. L., Trebucq, A., & Waaler, H. T. (1996). Guidelines for conducting tuberculin skin test surveys in high prevalence countries. Tubercle and Lung Disease, 77(Suppl. 1), 1–19.
Bleiker, M. A., Sutherland, I., Styblo, K., Ten Dam, H. G., & Misljenovic, O. (1989). Guidelines for estimating the risks of tuberculous infection from tuberculin test results in a representative sample of children. Bulletin of the International Union Against Tuberculosis and Lung Disease, 64(2), 7–12.
Canetti, G., Fox, W., Khomenko, A. A., Mahler, H. T., Menon, N. K., Mitchison, D. A., et al. (1969). Advances in techniques of testing mycobacterial drug sensitivity, and the use of sensitivity tests in tuberculosis control programmes. Bulletin of the World Health Organization, 41(1), 21.
Fox, W. (1963). Ambulatory chemotherapy in a developing country: Clinical and epidemiological studies. In H. Birkhauser, H. Bloch, & G. Canetti (Eds.), Advances in tuberculosis research (Vol. 12, pp. 28–149). Basel: Karger.
He, G. X. (2002). TB transmission parameter under modern tuberculosis control strategy. The Journal of the Chinese Antituberculosis Association, 24(6), 340–342.
Ministry of Health of the People’s Republic of China. (2003). Collected data of nationwide random survey for the epidemiology of tuberculosis in 2000. Beijing: People’s Medical Publishing House.
Styblo, K. (1984). Epidemiology of tuberculosis. In VEB Gustav Fischer Verlag Jena (pp. 108–111). (Reprinted from Styblo, K., Enarson, D. A., & Royal Netherlands Tuberculosis Association. (1991). Selected Papers: Epidemiology of Tuberculosis: Epidemiology of Tuberculosis in HIV Prevalent Countries (Volume 24 of Selected Papers). The Hague: Royal Netherlands Tuberculosis Association (KNCV)).
Zhang, L. X. (2004). Directly observed treatment for tuberculosis control. In M. M. Madkour (Ed.), Tuberculosis (pp. 801–808). Berlin, Heidelberg: Springer.
Zhang, L. X., & Kan, G. Q. (1992). Tuberculosis control programme in Beijing. Tubercle and Lung Disease, 73(3), 162–166.
Zhang, L. X., Wu, J. C., Lu, S. M., Liu, C. W., & Sun, F. X. (1980). Preliminary study results of the directly observed treatment for non-hospitalized TB patients in rural areas. The Journal of the Chinese Antituberculosis Association, 3(1), 13–15.
Zhang, L. X., Wu, J. C., Lu, S. M., Ma, Z. L., Kan, G. Q., Liu, C. R., et al. (1981). One-year study results of the directly observed treatment for non-hospitalized TB patients in rural areas. The Journal of the Chinese Antituberculosis Association, 4(9), 20–24.
Zhang, L. X., Wu, J. C., Kan, G. Q., & Tu, D. H. (1982a). Research of the directly observed treatment for non-hospitalized TB patients in rural areas: Recurrence rate observation. The Journal of the Chinese Antituberculosis Association, 5(2), 82.
Zhang, L. X., Wu, J. C., Lu, S. M., & Liu, C. W. (1982b). Research on the impact of chemotherapy to the infectiousness of initial treated smear positive TB patients. Chinese Journal of Tuberculosis and Respiratory Diseases, 5(6), 98–101.
Zhang, L. X., Kan, G. Q., & Liu, C. W. (1989). A model of fully supervised chemotherapy for pulmonary tuberculosis in the tuberculosis control programme in a rural area of China. Bulletin of the International Union Against Tuberculosis and Lung Disease, 64(1), 20–21.
Zhang, L. X., Kan, G. Q., Tu, D. H., Li, J. S., & Liu, X. X. (1995). Trend of initial drug resistance of tubercle bacilli isolated from new patients with pulmonary tuberculosis and its correlation with the tuberculosis programme in Beijing. Tubercle and Lung Disease, 76(2), 100–103.
Zhang, L. X., Tu, D. H., & Enarson, D. A. (2000a). The impact of directly-observed treatment on the epidemiology of tuberculosis in Beijing. The International Journal of Tuberculosis and Lung Disease, 4(10), 904–910.
Zhang, L. X., Tu, D. H., He, G. X., Ma, Z. Q., Nagelkerke, N. J., Borgdorff, M. W., et al. (2000b). Risk of tuberculosis infection and tuberculous meningitis after discontinuation of Bacillus Calmette–Guerin in Beijing. American Journal of Respiratory and Critical Care Medicine, 162(4), 1314–1317.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer Science+Business Media LLC
About this chapter
Cite this chapter
Zhang, L., He, G. (2017). The Role of Directly Observed Treatment in the Tuberculosis Epidemic in Beijing. In: Lu, Y., Wang, L., Duanmu, H., Chanyasulkit, C., Strong, A., Zhang, H. (eds) Handbook of Global Tuberculosis Control. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-6667-7_26
Download citation
DOI: https://doi.org/10.1007/978-1-4939-6667-7_26
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4939-6665-3
Online ISBN: 978-1-4939-6667-7
eBook Packages: MedicineMedicine (R0)