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新冠疫情对尼日利亚奥贡州结核病(TB)病例报告的影响。

The effect of the Covid-19 pandemic on Tuberculosis (TB) case notification in Ogun State, Nigeria.

机构信息

Department of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State.

Department of Community Medicine and Primary Care, Faculty of Clinical Sciences, Olabisi Onabanjo University Sagamu Campus, Ogun State.

出版信息

Afr Health Sci. 2023 Sep;23(3):376-383. doi: 10.4314/ahs.v23i3.44.

Abstract

INTRODUCTION

COVID-19 pandemic has resulted in disruptions in delivery of Tuberculosis services especially, in resource-limited settings. Provisional data by the WHO from 84 countries indicates that about 1.4 million fewer people received care for tuberculosis in 2020 than in 2019. This study assessed the effect of COVID-19 pandemic on tuberculosis case notification rates in Ogun state, Nigeria.

METHODS

A retrospective review of presumptive TB and diagnosed TB cases that were notified in 2019 and 2020. Analysis was done using Epi-info version 7.2.3.1. Level of statistical significance was p < 0.05.

RESULTS

A total of 3102 and 3326 confirmed cases were reported in 2019 and 2020 respectively with an increase of 7.2%. There was significant decline in total number of cases notified in Q2, 2020 compared to 2019 (p=0.001) with a significant increase in proportion of TB cases notified by private facilities from 11.65% in 2019 to 20.27% in 2020.

CONCLUSION

Total TB cases notified in Ogun state increased during the covid-19 pandemic. There was significant decline in TB cases during the lockdown but an increase in proportion of TB cases notified by private facilities demonstrating that private facilities can withstand disruptions to TB case notifications due to the Covid-19 pandemic.

摘要

简介

COVID-19 大流行导致结核病服务(尤其是在资源有限的环境中)的提供受到干扰。世界卫生组织(WHO)的临时数据显示,2020 年接受结核病护理的人数比 2019 年减少了约 140 万。本研究评估了 COVID-19 大流行对尼日利亚奥贡州结核病病例报告率的影响。

方法

对 2019 年和 2020 年报告的疑似结核病和确诊结核病病例进行回顾性审查。使用 Epi-info 版本 7.2.3.1 进行分析。统计显着性水平为 p < 0.05。

结果

2019 年和 2020 年分别报告了 3102 例和 3326 例确诊病例,增加了 7.2%。与 2019 年相比,2020 年第二季度报告的总病例数显着下降(p=0.001),私营机构报告的结核病病例比例从 2019 年的 11.65%显着增加到 2020 年的 20.27%。

结论

在 COVID-19 大流行期间,奥贡州报告的结核病总病例数有所增加。在封锁期间,结核病病例数量显着下降,但私营机构报告的结核病病例比例增加,表明私营机构能够承受因 COVID-19 大流行而导致的结核病病例报告中断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f603/10862610/e437abe0f48b/AFHS2303-0376Fig1.jpg

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