Integration of alcohol use disorders identification and management in the tuberculosis programme in Tomsk Oblast, Russia

Eur J Public Health. 2009 Jan;19(1):16-8. doi: 10.1093/eurpub/ckn093. Epub 2008 Dec 26.


Alcohol use disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes. We developed a multidisciplinary model to manage AUDs among TB patients in Tomsk, Russia. First, we assessed current standards of care through stakeholder meetings and ethnographic work. The Alcohol Use Disorders Identification Test (AUDIT) was incorporated into routine assessment of all patients starting TB treatment. We established treatment algorithms based on AUDIT scores. We then hired specialists and addressed licensing requirements to provide on-site addictions care. Our experience offers a successful model in the management of co-occurring AUDs among patients with chronic medical problems.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcohol-Related Disorders / complications
  • Alcohol-Related Disorders / prevention & control
  • Alcohol-Related Disorders / therapy*
  • Algorithms
  • Hospitals, Chronic Disease
  • Humans
  • Interdisciplinary Communication
  • Interviews as Topic
  • Referral and Consultation
  • Russia
  • Tuberculosis* / complications
  • Tuberculosis* / therapy