Medicine Atlas

How Healing Is Practiced
Sign In
Text size
100%
Theme
Treatment

Directly Observed Treatment Short-Course

Preventive and Immunologic Intervention

Directly observed treatment, short-course, known as DOTS, is the tuberculosis control strategy recommended by the World Health Organization, which holds that the most cost-effective way to stop the spread of tuberculosis in high-incidence communities is by curing it. Its main components are government commitment, case detection by sputum smear microscopy among symptomatic patients, a standardized six-to-eight month treatment regimen with directly observed therapy for at least the initial two months, an uninterrupted supply of essential anti-tuberculosis drugs, and a standardized recording and reporting system to assess treatment results.

Facts
Partially Attested
Origin Year
1994 1
1994 is when the DOTS name and concept were developed; the underlying technical strategy was developed by Styblo in the 1970s and 80s.
Classification
Status
Standard of Care 1
FAQs

What does the observer actually do in directly observed therapy?

A health care worker watches each dose, in person or virtually, monitors for adverse events and gives social support.

In the directly observed therapy that tuberculosis programs use, a health care worker watches the patient take the medicines, either in person or virtually. The worker also monitors for adverse events and provides social support. This is the description given in current US Centers for Disease Control and Prevention guidance for treating tuberculosis disease.
Connections

Treats

Directly observed treatment, short course, known as DOTS, is the World Health Organization strategy for treating tuberculosis.

Sources
1. Directly observed treatment, short-course - Wikipedia
  • History
    In the Fall of 1994, Kraig Klaudt, WHO's TB Advocacy Officer, developed the name and concept for a marketing strategy
  • Clinical use status
View the Source
Comments (0)
No comments yet. Be the first to share a thought.
Reader Challenges (0)
No disputes yet. Spotted an error or a better source? Open the first one.

View At A Past Year

Choose a year to see this entry's facts and connections as the atlas records them at that moment: what it held then, what it held instead, and what it had not yet adopted. Choose Present for the current record.