Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020

Objectives We investigated the impact of the coronavirus disease 2019 (COVID-19) pandemic on tuberculosis (TB) "diagnosis and" management in the Republic of Korea (ROK). Methods This retrospective cross-sectional study used nationwide ROK TB notification data (98,346 cases) from 2017 to 20...

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Autores principales:	Jiyeon Yang, Yunhyung Kwon, Jaetae Kim, Yoojin Jang, Jiyeon Han, Daae Kim, Hyeran Jeong, Hyekyung Park, Eunhye Shim
Formato:	article
Lenguaje:	EN
Publicado:	Korea Centers for Disease Control & Prevention 2021
Materias:	covid-19 delay in tb diagnosis disease outbreaks tuberculosis Special situations and conditions RC952-1245 Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/ea7e98a706fd4cbe917006aae74e6a21
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spelling	oai:doaj.org-article:ea7e98a706fd4cbe917006aae74e6a212021-11-05T00:07:51ZDelays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 20202210-90992210-911010.24171/j.phrp.2021.0063https://doaj.org/article/ea7e98a706fd4cbe917006aae74e6a212021-10-01T00:00:00Zhttp://ophrp.org/upload/pdf/j-phrp-2021-0063.pdfhttps://doaj.org/toc/2210-9099https://doaj.org/toc/2210-9110Objectives We investigated the impact of the coronavirus disease 2019 (COVID-19) pandemic on tuberculosis (TB) "diagnosis and" management in the Republic of Korea (ROK). Methods This retrospective cross-sectional study used nationwide ROK TB notification data (98,346 cases) from 2017 to 2020. The median time from the onset of TB symptoms to treatment initiation and the compliance rates with the required timing for notification and individual case investigations were measured and compared across periods and regions affected by the COVID-19 epidemic. Results TB diagnosis during the COVID-19 pandemic was delayed. The median time to TB treatment initiation (25 days) in 2020 increased by 3 days compared to that of the previous 3 years (22 days) (p<0.0001). In the outbreak in Seoul, Incheon, and Gyeonggi province during August, the time to TB diagnosis was 4 days longer than in the previous 3 years (p=0.0303). In the outbreak in Daegu and Gyeongbuk province from February to March 2020, the compliance rate with the required timing for individual case investigations was 2.2%p lower than in other areas in 2020 (p=0.0148). For public health centers, the rate was 13%p lower than in other areas (80.3% vs. 93.3%, p=0.0003). Conclusion TB diagnoses during the COVID-19 pandemic in the ROK were delayed nationwide, especially for patients notified by public-private mix TB control hospitals. TB individual case investigations were delayed in regional COVID-19 outbreak areas (Daegu and Gyeongbuk province), especially in public health centers. Developing strategies to address this issue will be helpful for sustainable TB management during future outbreaks.Jiyeon YangYunhyung KwonJaetae KimYoojin JangJiyeon HanDaae KimHyeran JeongHyekyung ParkEunhye ShimKorea Centers for Disease Control & Preventionarticlecovid-19delay in tb diagnosisdisease outbreakstuberculosisSpecial situations and conditionsRC952-1245Infectious and parasitic diseasesRC109-216ENOsong Public Health and Research Perspectives, Vol 12, Iss 5, Pp 293-303 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 delay in tb diagnosis disease outbreaks tuberculosis Special situations and conditions RC952-1245 Infectious and parasitic diseases RC109-216
spellingShingle	covid-19 delay in tb diagnosis disease outbreaks tuberculosis Special situations and conditions RC952-1245 Infectious and parasitic diseases RC109-216 Jiyeon Yang Yunhyung Kwon Jaetae Kim Yoojin Jang Jiyeon Han Daae Kim Hyeran Jeong Hyekyung Park Eunhye Shim Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020
description	Objectives We investigated the impact of the coronavirus disease 2019 (COVID-19) pandemic on tuberculosis (TB) "diagnosis and" management in the Republic of Korea (ROK). Methods This retrospective cross-sectional study used nationwide ROK TB notification data (98,346 cases) from 2017 to 2020. The median time from the onset of TB symptoms to treatment initiation and the compliance rates with the required timing for notification and individual case investigations were measured and compared across periods and regions affected by the COVID-19 epidemic. Results TB diagnosis during the COVID-19 pandemic was delayed. The median time to TB treatment initiation (25 days) in 2020 increased by 3 days compared to that of the previous 3 years (22 days) (p<0.0001). In the outbreak in Seoul, Incheon, and Gyeonggi province during August, the time to TB diagnosis was 4 days longer than in the previous 3 years (p=0.0303). In the outbreak in Daegu and Gyeongbuk province from February to March 2020, the compliance rate with the required timing for individual case investigations was 2.2%p lower than in other areas in 2020 (p=0.0148). For public health centers, the rate was 13%p lower than in other areas (80.3% vs. 93.3%, p=0.0003). Conclusion TB diagnoses during the COVID-19 pandemic in the ROK were delayed nationwide, especially for patients notified by public-private mix TB control hospitals. TB individual case investigations were delayed in regional COVID-19 outbreak areas (Daegu and Gyeongbuk province), especially in public health centers. Developing strategies to address this issue will be helpful for sustainable TB management during future outbreaks.
format	article
author	Jiyeon Yang Yunhyung Kwon Jaetae Kim Yoojin Jang Jiyeon Han Daae Kim Hyeran Jeong Hyekyung Park Eunhye Shim
author_facet	Jiyeon Yang Yunhyung Kwon Jaetae Kim Yoojin Jang Jiyeon Han Daae Kim Hyeran Jeong Hyekyung Park Eunhye Shim
author_sort	Jiyeon Yang
title	Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020
title_short	Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020
title_full	Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020
title_fullStr	Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020
title_full_unstemmed	Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020
title_sort	delays in the diagnosis and treatment of tuberculosis during the covid-19 outbreak in the republic of korea in 2020
publisher	Korea Centers for Disease Control & Prevention
publishDate	2021
url	https://doaj.org/article/ea7e98a706fd4cbe917006aae74e6a21
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Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020

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