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논문 기본 정보

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학술저널
저자정보
Yang Jiyeon (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease C) Kwon Yunhyung (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease C) Kim Jaetae (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease C) 장유진 (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease) 한지연 (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease) 김다애 (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease) Hye-Ran Jeong (Korea Centers for Diseases Control and Prevention) 박혜경 (Bureau of Infectious Disease Policy Korea Disease Control and Prevention Agency) Shim Eunhye (Division of Tuberculosis Prevention and Control Korea Disease Control and Prevention Agency Cheongj)
저널정보
질병관리본부 Osong Public Health and Research Persptectives Osong Public Health and Research Perspectives 제12권 제5호
발행연도
2021.10
수록면
293 - 303 (11page)
DOI
10.24171/j.phrp.2021.0063

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Objectives: We investigated the impact of the coronavirus disease 2019 (COVID-19) pandemic on tuberculosis (TB) 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 regions affected by the COVID-19 epidemic.Results: TB diagnosis during the COVID-19 pandemic was delayed. The median time to TB treatment initiation (25 days) in 2020 increased by 3 days compared to that of the previous 3 years (22 days) (p<0.0001). In the outbreak in Seoul, Incheon, and Gyeonggi province during August, the time to TB diagnosis was 4 days longer than in the previous 3 years (p=0.0303). In the outbreak in Daegu and Gyeongbuk province from February to March 2020, the compliance rate with the required timing for individual case investigations was 2.2%p points lower than in other areas in 2020 (p=0.0148). For public health centers, the rate was 13%p lower than in other areas (80.3% vs. 93.3%, p=0.0003).Conclusion: TB diagnoses during the COVID-19 pandemic in the ROK were delayed nationwide, especially for patients notified by public-private mix TB control hospitals. TB individual case investigations were delayed in regional COVID-19 outbreak areas (Daegu and Gyeongbuk province), especially in public health centers. Developing strategies to address this issue will be helpful for sustainable TB management during future outbreaks.
#COVID-19 #Delay in TB diagnosis #Disease outbreaks #Tuberculosis

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참고문헌 (24)

참고문헌 신청
Huang C / 2020 / Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China / Lancet 395:497~506 google schola World Health Organization / Timeline: WHO's COVID-19response google schola Jin Yong Kim / 2020 / The First Case of 2019 Novel Coronavirus Pneumonia Imported into Korea from Wuhan, China: Implication for Infection Prevention and Control Measures / Journal of Korean Medical Science 35(5):1~4 dbpia Kang CR / 2020 / Coronavirus disease exposure and spread from nightclubs, South Korea / Emerg Infect Dis 26:2499~2501 google schola McQuaid CF / 2020 / The potential impact of COVID-19-related disruption on tuberculosis burden / Eur Respir J 56:2001718 google schola

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