Impact of the COVID-19 pandemic on the temporal trend of indicators for access to tuberculosis diagnosis: A systematic review.

IF 1.2 4区医学 Q4 INFECTIOUS DISEASES

Journal of Infection in Developing Countries Pub Date : 2025-09-30 DOI:10.3855/jidc.21045

Mariana Gaspar Botelho Funari de Faria, Rubia Laine De Paula Andrade Gonçalves, Livia Maria Lopes, Elisangela Fransiscon Naves, Rafaele Oliveira Bonfim, Diogo Henrique Mendes da Silva, Ana Beatriz Marques Valença, Valdes Roberto Bollela, Maria Josefa Perón Rujula, Ricardo Alexandre Arcêncio, Ione Carvalho Pinto, Pedro Fredemir Palha, Jaqueline Garcia de Almeida Balestero, Dulce Gomes, Zhiting Guo, Jason Farley, Nancy Reynolds, Aline Aparecida Monroe

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引用次数: 0

Abstract

Introduction: The COVID-19 pandemic influenced the behaviour of numerous diseases, overloading health systems and weakening public health infrastructure and access.

Methodology: This study aimed to analyse the repercussions of the COVID-19 pandemic on tuberculosis diagnosis indicators. A systematic review was conducted, examining studies published between 2020 and 2024 in Portuguese, English, or Spanish across five databases and Google Scholar. The search, performed in March 2024, led to the identification of 6,378 studies, of which 23 were included after an independent review of titles, abstracts, and full texts. Data were extracted and narratively synthesized following a methodological quality assessment.

Results: The review revealed significant declines in TB incidence, detection, notification, and diagnosis during the pandemic, alongside reduced etiological confirmation of cases.

Conclusions: The findings highlight a need to reorganize and enhance health service responses to address the disruptions caused by the pandemic. Strengthening these services is crucial to recover missed TB cases and improve indicators, supporting the goal of eliminating TB by 2030.

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COVID-19大流行对结核病诊断可及性指标时间趋势的影响：系统综述

2019冠状病毒病大流行影响了许多疾病的行为，使卫生系统不堪重负，削弱了公共卫生基础设施和可及性。方法：本研究旨在分析COVID-19大流行对结核病诊断指标的影响。进行了系统回顾，检查了2020年至2024年间在五个数据库和谷歌Scholar中以葡萄牙语、英语或西班牙语发表的研究。这项检索于2024年3月进行，最终确定了6378项研究，其中23项是在对标题、摘要和全文进行独立审查后纳入的。在方法学质量评估后，提取数据并进行叙述性综合。结果：回顾显示，在大流行期间，结核病发病率、发现、通报和诊断显著下降，同时病例的病因确认也有所减少。结论：调查结果强调，有必要重组和加强卫生服务应对措施，以应对大流行造成的破坏。加强这些服务对于恢复漏诊结核病病例和改善指标至关重要，从而支持到2030年消除结核病的目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Infection in Developing Countries INFECTIOUS DISEASES-

CiteScore

3.70

自引率

5.30%

发文量

239

审稿时长

4-8 weeks

期刊介绍： The Journal of Infection in Developing Countries (JIDC) is an international journal, intended for the publication of scientific articles from Developing Countries by scientists from Developing Countries. JIDC is an independent, on-line publication with an international editorial board. JIDC is open access with no cost to view or download articles and reasonable cost for publication of research artcles, making JIDC easily availiable to scientists from resource restricted regions.