Application of Third-Generation (3G) Mobile Videophone to the DOTS-Plus Program in Multidrug-Resistant Tuberculosis in Taiwan: Case Report

3G影像手機應用於多重抗藥結核病的進階都治計畫：病例報告

鄧穎佳(Veng-Kai Tang) ； 白冠壬(Kuan-Jen Bai) ； 王錦雲(Chin-Yun Wang) ； 余明治(Ming-Chih Yu)

《胸腔醫學》 25卷1期 (2010/02) Pp. 7-12

https://doi.org/10.29806/TM.201002.0002

摘要

對於isoniazid及rifampin同時具有抗藥性的多重抗藥結核病會威脅全球的結核病防治，因此，台灣疾病管制局於民國96年5月開始實施以病人為中心的進階都治計畫。在此，我們報告一位71歲多重抗藥結核病人於民國96年10月開始接受抗結核藥物治療並完成18個月的進階都治計畫。在整個治療過程中，我們運用3G影像手機直接觀察病人服藥。病人對於進階都治計畫的接受度極佳，並且對於3G影像手機的接受度也非常好。我們認為對於特定合作的多重抗藥結核病人，3G影像手機可有效的應用於進階都治計畫並能達到相當好的服藥順從性。

關鍵字

多重抗藥結核病 ； 進階都治計畫 ； 3G影像手機

並列摘要

Multidrug-resistant tuberculosis (MDR-TB), caused by the bacterium, Mycobacterium tuberculosis, is resistant to both isoniazid and rifampicin and is a phenomenon threatening to destabilize global tuberculosis control. Taiwan's Centers for Disease Control implemented a patient-centered DOTS (directly observed treatment, short-course)-Plus program for MDR-TB patients in May 2007. We report the case of a 71-year-old MDR-TB patient who successfully completed 18 months of MDR-TB treatment under the DOTS-Plus program, beginning October 2007. A third-generation (3G) mobile videophone was used to watch the patient take medicine throughout his course of treatment. His acceptance of the program and compliance with monitoring by videophone DOT (V-DOT) were excellent. We conclude that V-DOT can be an effective approach to case management for MDR-TB patients and can achieve a high level of adherence in selected cooperative cases in Taiwan.

並列關鍵字

multidrug-resistant tuberculosis ； DOTS-Plus ； 3G mobile videophone