Peculiarities of tuberculosis in the COVID‑19 pandemic

Тодоріко, Л.Д.; Semianiv, Ihor

doi:10.32902/2663-0338-2020-3-27-34

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…In our opinion, the expansion of the use of molecular express diagnostics for the detection of TB in the early stages will significantly help to detect the disease in time, which is the key to overcoming the incidence of active tuberculosis in children in Bukovina under the influence of the COVID-19 pandemic [4,9].…”

Section: Resultsmentioning

confidence: 99%

“…Ukraine remains one of the notorious leaders in the world ranking of tuberculosis (TB) incidence and mortality, occupying the fifth place in the world and the second in Europe in these indicators, according to the WHO data [4,6].Addressing this problem requires effective response at the state level. One of the priority directions of state policy in the field of healthcare and social development, and the subject of international obligations, especially in the conditions of a strict lockdown caused by the COVID-19 pandemic, is the issue of combating TB [9].Since 2014, Ukraine has been included in the list of countries with the highest burden of tuberculosis with multi-drug resistance (MDR-TB). The situation has been further exacerbated by a 30 % decrease in TB detection in 2020, caused by the COVID-19 pandemic, with only a 2.2 % increase in cases detected in 2021.…”

mentioning

confidence: 99%

“…Addressing this problem requires effective response at the state level. One of the priority directions of state policy in the field of healthcare and social development, and the subject of international obligations, especially in the conditions of a strict lockdown caused by the COVID-19 pandemic, is the issue of combating TB [9].…”

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confidence: 99%

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The dynamics of incidence of active tuberculosis in children in Bukovina, the impact of the COVID-19 pandemic

Todoriko

2023

ТБ

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Ukraine remains one of the leaders in the global ranking of morbidity and mortality from tuberculosis (TB) and, according to WHO, ranks 5th in the world and 2nd in Europe according to these indicators. Objective — to analyze the regional features of the epidemiology of tuberculosis among children in the Chernivtsi region. Materials and methods. The medical records of all pediatric patients with newly diagnosed TB for the period from January 2020 to December 2022 in the Chernivtsi Regional Clinical TB Dispensary were analyzed. Statistical processing of the data obtained during the research was carried out using the IBM SPSS Statistics v. 26.0 program. Results and discussion. An analysis of the dynamics by years, when Ukraine was in lockdown due to COVID-19, revealed an increase in the incidence of TB among children under the age of 14 — by 2.7 times compared to 2021 and almost 8 times compared to 2020. 2 cases (25 %) of extrapulmonary tuberculosis, one of which (meningoencephalitis) had an unfavorable prognosis and resulted in death. Indicators of the tuberculosis situation in the Chernivtsi Region in the age group of 15—17 years showed an increase in TB in the percentage ratio of almost 2 times, with an even gender distribution (50 % each) compared to 2020 and 2021. Conclusions. In Bukovina, for the period from 2020 to 2022, increase in the incidence of tuberculosis among children (almost in 2 times) was registered. In 2022, in 100 % of cases, TB was detected during referral, and in children living in rural areas, the majority were girls (62.5 %). In 87.5 % of cases, the diagnosis was confirmed bacterioscopically, in 50 % of children the presence of contact with a tuberculosis source was determined, in 12.5 % there was no BCG vaccination, in 25 % of children MDR-TB was registered.

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confidence: 99%

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confidence: 99%

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The dynamics of incidence of active tuberculosis in children in Bukovina, the impact of the COVID-19 pandemic

Todoriko

2023

ТБ

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“…It was predicted in a modeling study shared by the WHO that in case there is a global decrease of 25% in TB detection for 3 months with the COVID-19 pandemic, this will cause an increase of 13% in TB deaths, and a return to the TB death rates of 5 years ago would be possible globally [ 3 ]. It was also shared that an additional 1.4 million TB deaths may be recorded to existing deaths between 2020 and 2025 as a direct result of the pandemic [ 4 ]. According to the results of previous studies and the WHO, it was shown that the number of TB patients diagnosed in almost every country in 2020 decreased with the effects of the COVID-19 pandemic on the real-time fight against tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on tuberculosis patients and tuberculosis control programs in Turkey, review and analysis

ÖZDEMİR

Oztomurcuk²,

Oruç

2022

Arch Public Health

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Background Many infectious diseases, including Tuberculosis (TB), have been put in the background with the COVID-19 pandemic. This study aimed to evaluate the changes in the number of TB patients, the parameters of the TB patients and tuberculosis control programs in the first year of the COVID-19 pandemic in Turkey when compared to the previous year. Methods All TB patients who were recorded in Samsun province between March 1, 2019 and February 28, 2021 were included in this retrospective study. The data were analyzed in 2 groups as the COVID-19 period (March 2020 and February 2021) and the Pre-COVID-19 period (March 2019 and February 2020),the demographic and microbiological characteristics of the tuberculosis patients in both periods were compared according to months and years p < 0.05 was considered statistically significant. Results The total number of TB patients was 320, although it was 172 in the Pre-COVID-19 period, it was 148 in the COVID-19 pandemic period. It was found that the TB incidence rate (IR) was 15.32%, the total number of examinations performed in TB dispensary decreased 33.54%, and the total number of contact examinations decreased by 53.54% during the pandemic period. The mean age of the patients decreased significantly during the COVID-19 period (p = 0.047), and it was found that culture positivity rates and smear positivity rates increased compared to the previous year (7.97%, p = 0.166, 1.86%; p = 0.507, respectively). SARS-CoV-2 PCR test result was found to be (−) in 46 (82.1%) of the 56 TB patients who were examined. Conclusions In the present study, it was found that the incidence of TB, the number of examinations, and the number of contact examinations decreased at significant levels. The decrease in TB patients was mostly in the first 3 months when COVID-19 precautions and restrictions were intense. As a conclusion, it was observed that the application of TB patients to the healthcare institution and TB control were affected negatively by the COVID-19 pandemic.

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Novel coronavirus infection (COVID-19) in tuberculosis patients in St. Petersburg

Malashenkov

Gudova

Гусев

et al. 2021

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The aim of this work was to attempt to analyze the demographic structure, clinical and radiological forms of tuberculosis and COVID-19, as well as the course and outcome of the disease in patients with this coinfection in the light of a new and still poorly understood problem of the mutual influence of tuberculosis and COVID-19.Material and methods. Examination and treatment were carried out in the infectious-tuberculosis departments of the Botkin Clinical Infectious Disease Hospital. We examined 63 patients identified in the first seven months of the epidemic in the multimillion city of St. Petersburg (Russia). Tuberculosis, confirmed by conventional bacteriological and molecular genetic methods, had an active phase in all of them. The new coronavirus infection was verified by a positive polymerase chain reaction test for SARS-CoV-2.Results. Tuberculosis in 43 patients was detected simultaneously with COVID-19, in 20 people it preceded coronavirus infection. Disseminated forms of tuberculosis prevailed - 50.8%; in 36.5%, two or more organs and systems were affected, which is associated with a high proportion (54.0%) of HIV-positive patients with an advanced stage of the disease. Lung damage with COVID-19 was noted in 36.5%. Fatal outcomes ended in 20.6% of cases of coinfection, the structure of the causes of death is given.Conclusion. An assumption was made about the possibility of an aggravating effect of tuberculosis on COVID-19 in the case of severe or widespread forms of these diseases. The negative influence of HIV infection on the outcome of the disease has also been shown. Further follow-up is required to identify more reliable associations between tuberculosis and COVID-19.

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Peculiarities of tuberculosis in the COVID‑19 pandemic

Cited by 4 publications

References 18 publications

The dynamics of incidence of active tuberculosis in children in Bukovina, the impact of the COVID-19 pandemic

The dynamics of incidence of active tuberculosis in children in Bukovina, the impact of the COVID-19 pandemic

Impact of the COVID-19 pandemic on tuberculosis patients and tuberculosis control programs in Turkey, review and analysis

Novel coronavirus infection (COVID-19) in tuberculosis patients in St. Petersburg

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