ВИДЕО КОНТРОЛИРУЕМОЕ ЛЕЧЕНИЕ БОЛЬ- НЫХ РЕЗИСТЕНТНЫМ ТУБЕРКУЛЁЗОМ

To evaluate the significance of video controlled therapy (VCT) for optimization of treatment approaches for patients with multidrug-resistant and extensively drug-resistant tuberculosis (MDR/XDR-TB) by creating favorable conditions for improving quality of life and increasing loyalty to chemotherapy. . The category of patients is persons treated with anti-TB drugs, regardless of the type of tolerance and stage of treatment. All requirements for the organization of video-controlled treatment in outpatient conditions according to the instructions were fulfilled. Monitoring was conducted remotely online, daily by a specialist of the institution and monthly by the regional coordinator, using special report forms and a specialized application. The results of our case study showed that VKL and psycho-social support of the patient (PPSP) resulted in 85% cure rate, compared to 72% in patients with traditional treatment method. VCL allows PPSP and reduction of patient's anxiety about confidentiality, which increases adherence to treatment. Patients were recruited into the program based on their consent. There is an opportunity to administer a large number of antimicrobial drugs (AMBs) in a day (2-3 times), with timely response and elimination of adverse drug reactions (ADRs) in the patient by the coordinating physician. Simultaneous dispensing of medicines for 15 days saves time and opportunities for self-realization of the patient. Problems with costs of treatment organization and irrational distribution of resources in health care are solved.