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新冠疫情对新冠疫情前、疫情期间和疫情后时代结核病护理及治疗结果的影响。

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

作者信息

Ranpariya Pooja N, Solanki Harsha M, Chudasama Rajesh K

机构信息

Community Medicine Department, Shantabaa Medical College, Amreli, Gujarat, India.

Community Medicine Department, P. D. U. Government Medical College, Rajkot, Gujarat, India.

出版信息

Indian J Community Med. 2025 Jan-Feb;50(1):242-245. doi: 10.4103/ijcm.ijcm_194_23. Epub 2025 Jan 23.

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 ( < 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.

摘要

背景

2019年冠状病毒病(COVID-19)大流行严重扰乱了所有医疗服务。结核病(TB)服务也受到COVID-19大流行政策的影响。因此,本研究旨在观察结核病患者在COVID-19之前、期间和之后的时代,结核病服务和治疗结果是否受到影响。

材料与方法

对从地区结核病中心获得的数据进行二次数据分析。结核病护理数据的比较包括COVID-19之前、期间和之后时期的通报、诊断、治疗服务和结果。

结果

与COVID-19之前和之后的时期相比,COVID-19期间结核病的通报和诊断服务受到显著阻碍(<0.05)。然而,在那些被诊断为结核病的患者中,治疗及时启动,医护人员进行了定期随访以确保治疗依从性,因此,研究报告的治愈率更高。发现COVID-19期间死亡率很高。

结论

COVID-19大流行期间结核病护理受到显著限制,在COVID-19的下降阶段服务进一步恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/100a/11927826/49dbcaec9e8d/IJCM-50-242-g001.jpg

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