The Effect of COVID-19 on Tuberculosis Care and Treatment Outcome in Pre-COVID, COVID, and Post-COVID Eras

新冠疫情对新冠疫情前、疫情期间和疫情后结核病防治及治疗效果的影响

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Abstract

BACKGROUND: Coronavirus disease 2019 (COVID-19) pandemic has caused a significant disruption of all healthcare services. Tuberculosis (TB) services were also affected by the COVID-19 pandemic policies. Therefore, this study was planned to observe whether TB services and treatment outcome were affected in pre-COVID, COVID, and post-COVID eras among TB patients. MATERIALS AND METHODS: Secondary data analysis was carried out from the data obtained from District Tuberculosis Centre. Comparison of TB care data includes notification, diagnosis, treatment services, and outcome for the pre-COVID, COVID, and post-COVID periods. RESULTS: TB notifications and diagnostic services were significantly hampered during the COVID-19 period as compared to pre-COVID and post-COVID periods (P < 0.05). However, in those diagnosed with TB, treatment was initiated timely and regular follow-up was done by health care workers to ensure treatment adherence, and hence, more cure rate was reported in the study. High mortality during COVID-19 period was found. CONCLUSION: TB care was significantly restrained during COVID-19 pandemic, and further reclamation of services occurred during the declining phase of COVID-19.

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