Impact of the COVID-19 pandemic on tuberculosis management in Spain
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- dc.contributor.author Aznar, María Luisa
- dc.contributor.author Jové, Neus
- dc.contributor.author Sánchez Martínez, Francisca
- dc.contributor.author Sánchez Montalvá, Adrián
- dc.date.accessioned 2021-09-22T06:34:56Z
- dc.date.available 2021-09-22T06:34:56Z
- dc.date.issued 2021
- dc.description.abstract Background: The impact of COVID-19 on the diagnosis and management of tuberculosis (TB) patients is unknown. Methods: Participating centres completed a structured web-based survey regarding changes to TB patient management during the COVID-19 pandemic. The study also included data from participating centres on patients aged ≥18 diagnosed with TB in 2 periods: March 15 to June 30, 2020 and March 15 to June 30, 2019. Clinical variables and information about patient household contacts were retrospectively collected. Results: A total of 7 (70%) TB units reported changes in their usual TB team operations. Across both periods of study, 169 patients were diagnosed with active TB (90 in 2019, 79 in 2020). Patients diagnosed in 2020 showed more frequent bilateral lesions in chest X-ray than patients diagnosed in 2019 (P = 0.004). There was a higher percentage of latent TB infection and active TB among children in households of patients diagnosed in 2020, compared with 2019 (P = 0.001). Conclusions: The COVID-19 pandemic has caused substantial changes in TB care. TB patients diagnosed during the COVID-19 pandemic showed more extended pulmonary forms. The increase in latent TB infection and active TB in children of patient households could reflect increased household transmission due to anti-COVID-19 measures.
- dc.format.mimetype application/pdf
- dc.identifier.citation Aznar ML, Espinosa-Pereiro J, Saborit N, Jové N, Sánchez Martinez F, Pérez-Recio S et al. Impact of the COVID-19 pandemic on tuberculosis management in Spain. Int J Infect Dis. 2021; 108:300-5. DOI: 10.1016/j.ijid.2021.04.075
- dc.identifier.doi http://dx.doi.org/10.1016/j.ijid.2021.04.075
- dc.identifier.issn 1201-9712
- dc.identifier.uri http://hdl.handle.net/10230/48491
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Int J Infect Dis. 2021; 108:300-5
- dc.rights © 2021 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
- dc.subject.keyword COVID-19
- dc.subject.keyword Household contact screening
- dc.subject.keyword Impact
- dc.subject.keyword Pandemic
- dc.subject.keyword Transmission
- dc.subject.keyword Tuberculosis
- dc.title Impact of the COVID-19 pandemic on tuberculosis management in Spain
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion