Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis

Background The COVID-19 pandemic could have negative effects on tuberculosis (TB) control. The objective was to assess the impact of the pandemic in contact tracing, TB and latent tuberculosis infection (LTBI) in contacts of patients with pulmonary TB in Catalonia (Spain). Methods Contact tracing wa...

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Authors: Godoy, P, Parron, I, Barrabeig, I, Cayla, JA, Clotet, L, Follia, N, Carol, M, Orcau, A, Alseda, M, Ferrus, G, Plans, P, Jane, M, Millet, JP, Dominguez, A
Format: article
Status:Published version
Publication Date:2022
Country:España
Institution:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repository:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p9954
Online Access:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=9954
https://ddd.uab.cat/record/280918
Access Level:Open access
Keyword:contact examination
human
latent tuberculosis
lung tuberculosis
pandemic
tuberculin test
tuberculosis
Contact Tracing
COVID-19
Humans
Latent Tuberculosis
Pandemics
Tuberculin Test
Tuberculosis
Tuberculosis, Pulmonary
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spelling Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosisGodoy, PParron, IBarrabeig, ICayla, JAClotet, LFollia, NCarol, MOrcau, AAlseda, MFerrus, GPlans, PJane, MMillet, JPDominguez, Acontact examinationhumanlatent tuberculosislung tuberculosispandemictuberculin testtuberculosisContact TracingCOVID-19HumansLatent TuberculosisPandemicsTuberculin TestTuberculosisTuberculosis, PulmonaryBackground The COVID-19 pandemic could have negative effects on tuberculosis (TB) control. The objective was to assess the impact of the pandemic in contact tracing, TB and latent tuberculosis infection (LTBI) in contacts of patients with pulmonary TB in Catalonia (Spain). Methods Contact tracing was carried out in cases of pulmonary TB detected during 14 months in the pre-pandemic period (1 January 2019 to 28 February 2020) and 14 months in the pandemic period (1 March 2020 to 30 April 2021). Contacts received the tuberculin skin test and/or interferon gamma release assay and it was determined whether they had TB or LTBI. Variables associated with TB or LTBI in contacts (study period and sociodemographic variables) were analyzed using adjusted odds ratio (aOR) and the 95% confidence intervals (95% CI). Results The pre-pandemic and pandemic periods showed, respectively: 503 and 255 pulmonary TB reported cases (reduction of 50.7%); and 4676 and 1687 contacts studied (reduction of 36.1%). In these periods, the proportion of TB cases among the contacts was 1.9% (84/4307) and 2.2% (30/1381) (P = 0.608); and the proportion of LTBI was 25.3% (1090/4307) and 29.2% (403/1381) (P < 0.001). The pandemic period was associated to higher LTBI proportion (aOR = 1.3; 95% CI 1.1-1.5), taking into account the effect on LTBI of the other variables studied as sex, age, household contact and migrant status. Conclusions COVID-19 is affecting TB control due to less exhaustive TB and LTBI case detection. An increase in LTBI was observed during the pandemic period. Efforts should be made to improve detection of TB and LTBI among contacts of TB cases.OXFORD UNIV PRESS2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=9954https://ddd.uab.cat/record/280918EUROPEAN JOURNAL OF PUBLIC HEALTHISSN: 11011262ISSNe: 1464360Xreponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p99542026-06-14T12:41:47Z
dc.title.none.fl_str_mv Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
title Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
spellingShingle Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
Godoy, P
contact examination
human
latent tuberculosis
lung tuberculosis
pandemic
tuberculin test
tuberculosis
Contact Tracing
COVID-19
Humans
Latent Tuberculosis
Pandemics
Tuberculin Test
Tuberculosis
Tuberculosis, Pulmonary
title_short Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
title_full Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
title_fullStr Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
title_full_unstemmed Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
title_sort Impact of the COVID-19 pandemic on contact tracing of patients with pulmonary tuberculosis
dc.creator.none.fl_str_mv Godoy, P
Parron, I
Barrabeig, I
Cayla, JA
Clotet, L
Follia, N
Carol, M
Orcau, A
Alseda, M
Ferrus, G
Plans, P
Jane, M
Millet, JP
Dominguez, A
author Godoy, P
author_facet Godoy, P
Parron, I
Barrabeig, I
Cayla, JA
Clotet, L
Follia, N
Carol, M
Orcau, A
Alseda, M
Ferrus, G
Plans, P
Jane, M
Millet, JP
Dominguez, A
author_role author
author2 Parron, I
Barrabeig, I
Cayla, JA
Clotet, L
Follia, N
Carol, M
Orcau, A
Alseda, M
Ferrus, G
Plans, P
Jane, M
Millet, JP
Dominguez, A
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv contact examination
human
latent tuberculosis
lung tuberculosis
pandemic
tuberculin test
tuberculosis
Contact Tracing
COVID-19
Humans
Latent Tuberculosis
Pandemics
Tuberculin Test
Tuberculosis
Tuberculosis, Pulmonary
topic contact examination
human
latent tuberculosis
lung tuberculosis
pandemic
tuberculin test
tuberculosis
Contact Tracing
COVID-19
Humans
Latent Tuberculosis
Pandemics
Tuberculin Test
Tuberculosis
Tuberculosis, Pulmonary
description Background The COVID-19 pandemic could have negative effects on tuberculosis (TB) control. The objective was to assess the impact of the pandemic in contact tracing, TB and latent tuberculosis infection (LTBI) in contacts of patients with pulmonary TB in Catalonia (Spain). Methods Contact tracing was carried out in cases of pulmonary TB detected during 14 months in the pre-pandemic period (1 January 2019 to 28 February 2020) and 14 months in the pandemic period (1 March 2020 to 30 April 2021). Contacts received the tuberculin skin test and/or interferon gamma release assay and it was determined whether they had TB or LTBI. Variables associated with TB or LTBI in contacts (study period and sociodemographic variables) were analyzed using adjusted odds ratio (aOR) and the 95% confidence intervals (95% CI). Results The pre-pandemic and pandemic periods showed, respectively: 503 and 255 pulmonary TB reported cases (reduction of 50.7%); and 4676 and 1687 contacts studied (reduction of 36.1%). In these periods, the proportion of TB cases among the contacts was 1.9% (84/4307) and 2.2% (30/1381) (P = 0.608); and the proportion of LTBI was 25.3% (1090/4307) and 29.2% (403/1381) (P < 0.001). The pandemic period was associated to higher LTBI proportion (aOR = 1.3; 95% CI 1.1-1.5), taking into account the effect on LTBI of the other variables studied as sex, age, household contact and migrant status. Conclusions COVID-19 is affecting TB control due to less exhaustive TB and LTBI case detection. An increase in LTBI was observed during the pandemic period. Efforts should be made to improve detection of TB and LTBI among contacts of TB cases.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=9954
https://ddd.uab.cat/record/280918
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=9954
https://ddd.uab.cat/record/280918
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv OXFORD UNIV PRESS
publisher.none.fl_str_mv OXFORD UNIV PRESS
dc.source.none.fl_str_mv EUROPEAN JOURNAL OF PUBLIC HEALTH
ISSN: 11011262
ISSNe: 1464360X
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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