Low rate of non-compliance to antituberculous therapy under the banner of directly observed treatment short course (DOTS) strategy and well organized retrieval system: a call for implementation of this strategy at all DOTS centers in Saudi Arabia

Abstract

Introduction: The objective of this study was to show the effectiveness of revised retrieval system on non-compliance.

Methods: We retrospectively evaluated the effectiveness of a revised retrieval system on  non-compliance during continuous phase of antituberculous treatment (Jan-2005 to Dec-2010) compared to baseline non-compliance (Jan-2002 to Dec-2004).

Results: In the baseline period, 141 of 501 (28%) patients did not attend their first appointment. Of these 141 patients, 63 (45%) patients could be brought back to treatment while 78 patients (16%) dropped out and could not be retrieved. During the 2nd phase after launching a revised retrieval system, 98 of 835  (13%) patients did not attend their first appointment. Using the retrieval system, 79 (81%) patients  were brought back for regular follow up, and 19 patients could not be retrieved, a dropout rate of 2.27%. By virtue of revised retrieval system, there was a significant drop in non-compliance by 15% and a  decline in net dropout rate by 14%. The number of those brought back to treatment by revised retrieval system almost doubled (81%) compared to 44% retrieval in initial period.

Conclusion: The revised retrieval system had a significant impact on the reduction of dropout rate and  significant improvement in the retrieval of those patients.

Key words: DOTS, antituberculous, TB-tuberculosis, non-Compliance