2021
DOI: 10.24171/j.phrp.2021.0063
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Delays in the diagnosis and treatment of tuberculosis during the COVID-19 outbreak in the Republic of Korea in 2020

Abstract: 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 r… Show more

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Cited by 11 publications
(11 citation statements)
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“…Besides reduced case finding, as COVID-19 spreads, prevalent fear of the coronavirus prevented people from pursuing medical care. Due to fear of being infected with COVID-19, fewer people would attend health facilities than usual [22][23][24]. Additionally, lockdown measures which were put in place restricting movement.…”
Section: Discussionmentioning
confidence: 99%
“…Besides reduced case finding, as COVID-19 spreads, prevalent fear of the coronavirus prevented people from pursuing medical care. Due to fear of being infected with COVID-19, fewer people would attend health facilities than usual [22][23][24]. Additionally, lockdown measures which were put in place restricting movement.…”
Section: Discussionmentioning
confidence: 99%
“…One reason was that the expanded implementation of active case finding starting from 2019 resulted in the current MDR-TB cases upward in 2020 [ 9 ]. The other reason was that the restrictions during COVID-19 pandemic have created barriers in the provision of healthcare and the treatment delay of patients [ 11 , 40 ]. After lifting all restrictions in May in Guizhou [ 41 ], patients densely went to hospitals in June and led to a peak admission.…”
Section: Discussionmentioning
confidence: 99%
“… 4 5 The long-standing pandemic could disrupt the PPM project, which may delay TB diagnosis and treatment. 6 In addition, we hypothesized that the COVID-19 pandemic could alter the patient’s health seeking behavior; fearful of contacting the disease or being stigmatized, and may delay visiting the clinics as much as possible. In this study, we investigated delays of TB treatment among notified patients under the PPM project during the first wave of the COVID-19 pandemic in Korea.…”
Section: Introductionmentioning
confidence: 99%