Transforming multidrug-resistant tuberculosis care: The potentials of telemedicine in resource-limited settings

David B. Olawade , Judith Eberhardt , Aanuoluwapo Clement David-Olawade , Malik A. Balogun , Obasanjo A. Bolarinwa , Deborah T. Esan
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Abstract

Multidrug-resistant tuberculosis (MDR-TB) is a significant public health challenge in low-resource settings owing to limited healthcare access and quality. However, telemedicine can potentially improve healthcare delivery by overcoming geographical barriers. This comprehensive review aimed to provide an overview of the current trends in utilizing telemedicine for MDR-TB control in low-resource settings. A systematic literature search were conducted in PubMed and CINAHL electronic databases and Google Scholar search engine to identify relevant articles on telemedicine and MDR-TB control in low-resource settings. The selected articles were analyzed and synthesized to provide a comprehensive overview of telemedicine's current trends and applications in MDR-TB control. The review results shows that telemedicine allows remote screening and diagnosis, facilitating early detection and timely treatment, provides access to experts through teleconsultation, which ensures optimal treatment outcomes, fosters training and education of healthcare providers, and supports follow-up care through teleconsultation and remote monitoring. Furthermore, telemedicine integration with data collection methods could improve MDR-TB surveillance and intervention. Findings from this review show the potential of telemedicine to improve MDR-TB control and patient health in low-resource settings. This makes it a promising prevention and management option. However, successful implementation requires overcoming limitations such as connectivity, infrastructure, and cultural barriers. Telemedicine can considerably improve MDR-TB control and reduce disease burden in underserved populations by utilizing possibilities and addressing the challenges.

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转变耐多药结核病护理:远程医疗在资源有限环境中的潜力
由于医疗服务的可及性和质量有限,耐多药结核病(MDR-TB)是低资源环境下的一项重大公共卫生挑战。然而,远程医疗可以克服地理障碍,改善医疗服务。本综述旨在概述当前在低资源环境中利用远程医疗控制 MDR-TB 的趋势。我们在 PubMed 和 CINAHL 电子数据库以及 Google Scholar 搜索引擎中进行了系统的文献检索,以确定有关远程医疗和低资源环境中 MDR-TB 控制的相关文章。对所选文章进行了分析和综合,以全面概述远程医疗在 MDR-TB 控制中的当前趋势和应用。综述结果表明,远程医疗可进行远程筛查和诊断,从而促进早期发现和及时治疗;通过远程会诊提供与专家接触的机会,从而确保最佳治疗效果;促进对医疗服务提供者的培训和教育;通过远程会诊和远程监测支持后续护理。此外,远程医疗与数据收集方法的整合可以改善对耐药结核病的监测和干预。本综述的研究结果表明,在资源匮乏的环境中,远程医疗具有改善 MDR-TB 控制和患者健康的潜力。这使其成为一种有前景的预防和管理选择。然而,成功实施远程医疗需要克服各种限制,如连接性、基础设施和文化障碍。通过利用各种可能性和应对各种挑战,远程医疗可以大大改善对服务不足人群的耐药结核病控制并减轻疾病负担。
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来源期刊
Health sciences review (Oxford, England)
Health sciences review (Oxford, England) Medicine and Dentistry (General)
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