Impact of the COVID-19 pandemic on tuberculosis management in Spain
Por:
Aznar ML, Espinosa-Pereiro J, Saborit N, Jové N, Sánchez Martinez F, Pérez-Recio S, Vitoria A, Sanjoaquin S, Gallardo E, Llenas-García J, Pomar V, García IO, Cacho J, Goncalves De Freitas L, San Martin JV, García Rodriguez JF, Jiménez-Fuentes MÁ, De Souza-Galvao ML, Tórtola T, Zules R, Molina I and Sánchez-Montalvá A
Publicada:
1 jul 2021
Ahead of Print:
1 jun 2021
Resumen:
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. (c) 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-ncnd/4.0/).
Filiaciones:
Aznar ML:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain. Electronic address:
Espinosa-Pereiro J:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Saborit N:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Jové N:
Unitat Clínica de Tuberculosis, Hospital del Mar, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Sánchez Martinez F:
Unitat Clínica de Tuberculosis, Hospital del Mar, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Pérez-Recio S:
Tuberculosis Unit, Service of Infectious Diseases, Bellvitge University Hospital-Bellvitge Biomedical Research Institute (IDIBELL), University of Barcelona, L'Hospitalet de Llobregat, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Vitoria A:
Microbiology Department. Hospital Clínico, Universitario Lozano Blesa, Zaragoza, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Sanjoaquin S:
Infectious Diseases Department. Hospital Clínico, Universitario Lozano Blesa, Zaragoza, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
:
Internal Medicine Department, Hospital Vega Baja-FISABIO Orihuela, Alicante, Spain
Clinical Medicine Department. Miguel Hernández University, Elche, Alicante, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
:
Internal Medicine Department, Hospital Vega Baja-FISABIO Orihuela, Alicante, Spain
Clinical Medicine Department. Miguel Hernández University, Elche, Alicante, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Pomar V:
Infectious Diseases Unit, Hospital de la Santa Creu i Sant Pau, Institut de Recerca del Hospital de la Santa Creu i Sant Pau, Av. Sant Antoni Mª Claret, 167, 08025 Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
García IO:
Microbiology and Infection's Control department, Hospital Universitario de Canarias Tenerife, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Cacho J:
Microbiology Department. Hospital, Universitario de Getafe, Departamento Clínico, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Madrid, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Goncalves De Freitas L:
Microbiology Department. Hospital El Bierzo en Ponferrada, León. Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
San Martin JV:
Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
García Rodriguez JF:
Infectious Diseases Unit, Complexo Hospitalario Universitario de Ferrol, Ferrol, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Jiménez-Fuentes MÁ:
Pneumology Department, Vall d'Hebron University Hospital, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
De Souza-Galvao ML:
Pneumology Department, Vall d'Hebron University Hospital, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Tórtola T:
Microbiology Department, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Zules R:
Preventive Medicine and Epidemiology Department, University Hospital Vall d'Hebron, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Molina I:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
Sánchez-Montalvá A:
Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS Barcelona, Universitat Autònoma de Barcelona, Barcelona, Spain
Preventive Medicine and Epidemiology Department, University Hospital Vall d'Hebron, Barcelona, Spain
Mycobacteria infection study group (GEIM, Spanish acronym) from Spanish Society of Infectious Diseases and Clinical microbiology (SEIMC, Spanish acronym), Spain
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