Integration of alcohol use disorders identification and management in the tuberculosis programme in Tomsk Oblast, Russia |
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| Authors: | Mathew, Trini A. Yanov, Sergey A. Mazitov, Rais Mishustin, Sergey P. Strelis, Aivar K. Yanova, Galina V. Golubchikova, Vera T. Taran, Dmitry V. Golubkov, Alex Shields, Alan L. Greenfield, Shelly F. Shin, Sonya S. on behalf of the Tomsk Tuberculosis Alcohol Working Group, |
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| Abstract: | Alcohol use disorders (AUDs) among tuberculosis (TB) patientsare associated with nonadherence and poor treatment outcomes.We developed a multidisciplinary model to manage AUDs amongTB patients in Tomsk, Russia. First, we assessed current standardsof care through stakeholder meetings and ethnographic work.The Alcohol Use Disorders Identification Test (AUDIT) was incorporatedinto routine assessment of all patients starting TB treatment.We established treatment algorithms based on AUDIT scores. Wethen hired specialists and addressed licensing requirementsto provide on-site addictions care. Our experience offers asuccessful model in the management of co-occurring AUDs amongpatients with chronic medical problems. |
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| Keywords: | alcohol use disorders tuberculosis Alcohol Use Disorders Identification Test Russia systems integration Siberia |
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