Thinking about tuberculosis in times of COVID‐19

Teixeira, Rosarito Coronel; Aguirre, Señalin; Bejarano, Domingo Pérez

doi:10.1111/joim.13192

Cited by 10 publications

(16 citation statements)

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“…In the Americas, Paraguay reports a significant and sustained reduction from April [ 90 ] and seven centres in three countries a cumulative drop of 71% in April [ 109 ]. First results of effects on clinical outcomes show moderate effects on treatment completion, drug resistance screening and mortality varying by region.…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 pandemic and anti-pandemic measures on tuberculosis, viral hepatitis, HIV/AIDS and malaria–A systematic review

Kessel

Heinsohn

Ott

et al. 2023

PLOS Glob Public Health

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COVID-19 pandemic puts an enormous strain on health care systems worldwide and may have a detrimental effect on prevention, treatment and outcomes of tuberculosis (TB), viral hepatitis, HIV/AIDS and malaria, whose ending is part of the United Nations 2030 Agenda for Sustainable Development. We conducted a systematic review of scientific and grey literature in order to collect wide-ranging evidence with emphasis on quantification of the projected and actual indirect impacts of COVID-19 on the four infectious diseases with a global focus. We followed PRISMA guidelines and the protocol registered for malaria (CRD42021234974). We searched PubMed, Scopus, preView (last search: January 13, 2021) and websites of main (medical) societies and leading NGOs related to each of the four considered infectious diseases. From modelling studies, we identified the most impactful disruptions; from surveys and other quantitative studies (based e.g. on surveillance or program data), we assessed the actual size of the disruptions. The identified modelling studies warned about under-diagnosis (TB), anti-retroviral therapy interruption/decrease in viral load suppression (HIV), disruptions of insecticide-treated nets (ITN) distribution and access to effective treatment (malaria), and treatment delays and vaccination interruptions (viral hepatitis). The reported disruptions were very heterogeneous both between and within countries. If observed at several points in time, the initial drops (partly dramatic, e.g. TB notifications/cases, or HIV testing volumes decreased up to -80%) were followed by a gradual recovery. However, the often-missing assessment of the changes against the usual pre-pandemic fluctuations hampered the interpretation of less severe ones. Given the recurring waves of the pandemic and the unknown mid- to long-term effects of adaptation and normalisation, the real consequences for the fight against leading infectious diseases will only manifest over the coming years.

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Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 pandemic and anti-pandemic measures on tuberculosis, viral hepatitis, HIV/AIDS and malaria–A systematic review

Kessel

Heinsohn

Ott

et al. 2023

PLOS Glob Public Health

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“…Underreporting of TB cases is one that should have been detected but went undetected due to a variety of possible causes, such as disruption of active case finding programs and surveillance systems, overload in laboratory capacity, mobility restrictions due to lockdowns, delay in healthcare seeking, and overlapping symptoms of TB and COVID-19. 49 51 52 54 56 58 76 77 78 79 80 81 82 83 84 85 86 87 88 A true reduction in TB incidence might be the effect of social distancing, lock-downs, strengthening of IPC in congregate settings, and mask use that may have generally decreased transmission of infectious diseases among susceptible individuals. 89 In low-burden countries, decline in emigrants due to travel restrictions is also considered as a possible cause of decrease in incidence.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Tuberculosis Preventive Services and Their Post-Pandemic Recovery Strategies: A Rapid Review of Literature

Jeong

Min

2023

J Korean Med Sci

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Background Coronavirus disease 2019 (COVID-19) pandemic has disrupted tuberculosis (TB) care and prevention around the world. The aim of this study is to review literature on the impact of COVID-19 on TB preventive services and discuss their policy options during and after the pandemic. Methods We conducted a rapid review of scientific literature on the impact of COVID-19 on TB preventive services and their recovery strategies. After conducting a line-by-line open coding, their codes were applied in the descriptive theme building process, which was guided by the End TB strategy. TB preventive measures were selected and classified into five analytical categories: 1) vaccination against TB, 2) detection and treatment of latent TB infection (LTBI), 3) screening and diagnostics, 4) active case finding and contact tracing, and 5) surveillance. Results We identified 93 articles, of which 65 were research articles. During the pandemic, we observed decrease in Bacillus Calmette-Guérin (BCG) coverage, TB diagnostic services, case finding activities, and LTBI management. TB case detection was declined, which was not resumed to the pre-pandemic level after loosening the lock-down. Several recommendations were highlighted: 1) secure BCG stocks and its supply chains, 2) consider catch-up activities of routine immunization and LTBI screening, 3) maintain minimal TB health services, infection prevention and control, and surveillance, 4) leverage laboratory capacity and contact tracing mechanisms, 5) consider simultaneous testing for TB and COVID-19, and 6) Incorporate digital health technologies. Conclusions Our findings and lessons learnt from the pandemic can aid in the development of future national TB control program.

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“…Após o entendimento dos agentes etiológicos causadores das doenças infectocontagiosas em estudo, nota-se a relação entre a tuberculose (TB) e a Covid-19, ambos com grande importância, por tratar-se de doenças com atuação principal no trato respiratório, gerando importantes complicações. Por isso, a necessidade de revisar os casos relatados na literatura para identificar o provável prognóstico de uma coinfecção, além do uso constante de máscara e a quarentena como medida de prevenção no início de 2020, prevenindo outras doenças transmitidas por gotícula e aerossol, como a TB, diminuindo os casos desde o início da pandemia (Migliori et al, 2021;Visca et al, 2021;Teixeira et al, 2021).…”

Section: Relação Da Infecção Pelo Mycobacterium Tuberculosis E Covid-19unclassified

“…Em um caso de TB extrapulmonar, especificamente abdominopélvica, em uma paciente de 30 anos, com teste de Covid-19 positivo, apresentando dor abdominal com duração de 2 semanas, demonstrou a dificuldade do diagnóstico durante a pandemia, visto que os casos graves de infecção por Covid-19 são prioridades, a nível de exames de imagem e cirurgias de urgência, principalmente nos períodos de alta infecção. Houve a impossibilidade de realizar uma laparoscopia exploradora por ser um procedimento cirúrgico eletivo, sendo o diagnóstico clínico e por exame de imagem, sendo a tomografia computadorizada de abdome e pelve uma ferramenta determinante nesse diagnóstico (Subramanian et al, 2021;Teixeira et al, 2021).…”

Section: Relação Da Infecção Pelo Mycobacterium Tuberculosis E Covid-19unclassified

Análise geral do Mycobacterium Tuberculosis e sua repercussão na pandemia da Covid-19: Uma Revisão Bibliográfica

Costa¹,

Cavalcanti²,

Nunes³

et al. 2022

RSD

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As infecções virais de desenvolvimento rápido levaram a pandemias, ocasionando morbidade e mortalidade em grande escala. A tuberculose e a Covid-19 possuem características importantes que predispõem a esforços de controle transversal. Ambas são consideradas importantes doenças respiratórias que podem ser transmitidas no ar, fazendo com que a interação entre essas duas doenças seja facilitada. Diante deste contexto, objetivou-se com o estudo realizar uma revisão da literatura a respeito da relação entre o Mycobacterium Tuberculosis e o vírus SARS-CoV-2 durante a pandemia. Como percurso metodológico utilizou-se artigos publicados no período de 2021 a 2021 e que estivessem disponíveis nas seguintes bases de dados: Biblioteca Virtual em Saúde (BVS), LILACS, MEDLINE/PubMed, SciELO e Google Acadêmico. A tuberculose e a Covid-19 são consideradas emergências globais devido às suas altas transmissões. São doenças semelhantes que apresentam características específicas. Apesar da gravidade do vírus SARS-CoV-2 ser maior, a tuberculose continua sendo uma preocupação, principalmente por atingir minorias no mundo inteiro, gerando problemas sociais, tais como desigualdade e exclusão social. Por serem doenças transmitidas por gotículas e aerossóis, se faz necessário a adoção de medidas protetivas como uso de máscara e o distanciamento social a fim de prevenir essas doenças. Conclui-se que desde o início da pandemia pelo coronavírus têm sido notificados casos de tuberculose e Covid-19 de forma simultâneas, sendo o diagnóstico diferencial difícil de ser realizado devido a proximidade de sinais e sintomas entre essas doenças.

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Thinking about tuberculosis in times of COVID‐19

Cited by 10 publications

References 0 publications

Impact of COVID-19 pandemic and anti-pandemic measures on tuberculosis, viral hepatitis, HIV/AIDS and malaria–A systematic review

Impact of COVID-19 pandemic and anti-pandemic measures on tuberculosis, viral hepatitis, HIV/AIDS and malaria–A systematic review

Impact of COVID-19 Pandemic on Tuberculosis Preventive Services and Their Post-Pandemic Recovery Strategies: A Rapid Review of Literature

Análise geral do Mycobacterium Tuberculosis e sua repercussão na pandemia da Covid-19: Uma Revisão Bibliográfica

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