Impact du COVID-19 sur l’hospitalisation des enfants atteints de tuberculose
DOI :
https://doi.org/10.62438/tunismed.v102i7.4923Mots-clés :
Epidémiologie de la tuberculose , tuberculose infantile, COVID-19, tuberculose extrapulmonaire , hospitalisation pour tuberculose, MarocRésumé
Introduction : Le Maroc a réalisé des progrès remarquables dans la lutte contre la tuberculose, mais celle-ci reste un défi majeur pour la santé publique. La pandémie de COVID-19 a affecté la lutte contre la tuberculose dans le monde entier, avec des fluctuations notables de l’épidémiologie de la tuberculose pendant et après la pandémie.
Objectif : Analyser l’impact du COVID-19 sur le taux d’hospitalisations pour tuberculose et ses types chez les enfants qui nous intéressent.
Méthodes : Nous avons mené une étude rétrospective basée sur l'analyse des dossiers médicaux des patients tuberculeux hospitalisés au sein de l'Hôpital des Enfants du Centre Hospitalier Universitaire Ibn Rochd de Casablanca, pendant les périodes avant (2018-2019), pendant (2020) et après le confinement (2021 -2022) .
Résultats : Tout au long de la période d'étude (2018-2022), 283 enfants ont été hospitalisés pour tuberculose, l'âge moyen était de 6 ans. Avant la pandémie de COVID-19, le nombre moyen de cas de tuberculose dans notre établissement était de 49). Le nombre de cas est dimininué à 23 cas pendant la période de quarantaine, avec une diminution du pourcentage de cas de tuberculose pulmonaire. Après la période de quarantaine, le nombre est passé à 81 cas, dont 80% de tuberculose extrapulmonaire
hygiène et distanciation sociale.hygiène
Conclusion : Notre étude a démontré l’impact du COVID-19 sur la répartition de la proportion et des types d’hospitalisations pour tuberculose chez les enfants.
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Janah H, Souhi H, Kouismi H. Risk Factors for Pulmonary Tuberculosis Mortality. Pan Afr Medj.2014 ;19 :347.
Elfihri S, Ben Amor J, Zahraoui R. Diagnostic aspects of childhood tuberculosis: experience of the Moulay-Youssef hospital, Rabat, Morocco. Journal of Respiratory Diseases. 2017; 34: A17.
Mahaman L H, Ousmane A, Oumarou A, et al. Epidemiological, clinical and evolutionary profile of tuberculosis patients at the Regional Hospital Center (CHR) of Maradi, Republic of Niger”. Pan AfrMed J. 33:120.
Dylan B, Eli O, Nathavitharana R, et al. FAST Tuberculosis Transmission Control Strategy Speeds the Start of Tuberculosis Treatment at a General Hospital in Lima, Peru. The International Journal of Tuberculosis and Lung Disease. 2022;14(9):1120-6.
Polidori, M. Cristina, Helmut S, et al. COVID-19 Mortality as a Fingerprint of Biological Age. Res Rev.2021; 67:101308.
The Union. A century of leadership in lung health [Internet]. 2020 Available from: https://theunion.org/about-us/a-century-of-leadership-in-lung-health
The Global Fund. The Impact of COVID-19 on HIV, TB and Malaria Services and Systems for Health [Internet]. 2021. Available from: https://www.theglobalfund.org/en/updates/2021/2021-04-13-the-impact-of-covid-19-on-hiv-tb-and-malaria-services-and-systems-for-health/
« Impact of the COVID-19 Pandemic on TB Detection and Mortality in 2020 »;2020: https://www.who.int/publicaWorld Health Organization. Impact of the COVID-19 Pandemic on TB Detection and Mortality in 2020. 2020. Available from: https://www.who.int/publications/m/item/impact-of-the-covid-19-pandemic-on-tb-detection-and-mortality-in-2020.
Migliori G, Giovanni B, Pei Min T, et al. Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services. Emerg Infect Dis. 2020 Nov;26(11):2709-2712.
Visca D, Ong S, Tiberi R, Centis L, et al. Tuberculosis and COVID-19 Interaction: A Review of Biological, Clinical and Public Health Effects. Pneumology.2021: 151‑65.
Migliori G, Giovanni B, Visca D, et al. Tuberculosis, COVID-19 and Hospital Admission: Consensus on Pros and Cons Based on a Review of the Evidence. Pneumology. 2021 Mai-Juin; 27(3):248-256.
Visca D, Zampogna E, Giovanni S, et al. Pulmonary Rehabilitation Is Effective in Patients with Tuberculosis Pulmonary Sequelae. Eur Respir; 53(3): 1802184.
Visca D, Zampogna E. The need for pulmonary rehabilitation after treatment for tuberculosis. Int J Tuberc Lung Dis. 2020;24(7):720-722.
Visca D, Simon T, Emanuele P, Antonio S, et al. Tuberculosis in the time of COVID-19: quality of life and digital innovation. Eur Respir J. 2020;56(2):2001998.
Echeverría G, Espinoza W, Waard JH. How TB and COVID-19 Compare: An Opportunity to Integrate Both Control Programmes . Int J Tuberc Lung Dis. 2020;24(9):971-974.
Loveday M, Cox H, Evans D. Opportunities from a New Disease for an Old Threat: Extending COVID-19 Efforts to Address Tuberculosis in South Africa. S Afr Med J. 2020;110(12):1160-1167.
Casco N, Jorge L, Palmero D, et al. TB and COVID-19 Co-Infection: Rationale and Aims of a Global Study. Int J, Tuberculosis Lung Dis. 2021;25(1):78-80.
Catherine WM, Migliori G, Raviglione M et al. Epidemic and Pandemic Viral Infections: Impact on Tuberculosis and the Lung: A Consensus by the World Association for Infectious Diseases and Immunological Disorders (WAidid), Global Tuberculosis Network (GTN), and Members of the European Society of Clinical Microbiology and Infectious Diseases Study Group for Mycobacterial Infections (ESGMYC) ». Eur Respir J. 2020;56(4):2001727.
Therese K, Nel Jason L, Jhanna U. Previous and Active Tuberculosis Increases Risk of Death and Prolongs Recovery in Patients with COVID-19. Infect Dis. 2020;52(12):902-907.
Western Cape Department of Health in collaboration with the National Institute for Communicable Diseases, South Africa. Risk Factors for Coronavirus Disease 2019 (COVID-19) Death in a Population Cohort Study from the Western Cape Province, South Africa . Clin Infect Dis. 2020 ;73(7).
McGill International TB Center. Impact of Covid-19 on tuberculosis services [Internet].2020.Availablefrom:https://www.mcgill.ca/tb/files/tb/covid_tb_briefing_fr.pdf
World Health Organization. WHO Consolidated Guidelines on Tuberculosis: Module 5: Management of Tuberculosis in Children and Adolescents. 2022. Available: https://www.who.int/publications-detail-redirect/9789240046764.
World Health Organization. Tuberculosis deaths increase for first time in more than a decade due to COVID-19 pandemic [Internet]. 2021. Available from: https://www.who.int/fr/news/item/14-10-2021-tuberculosis-deaths-rise-for-the-first-time-in-more-than-a-decade-due-to-the-covid-19-pandemic.
Ramamon J. Extra-pulmonary tuberculosis in children hospitalized at Fianarantsoa hospital, Service de pédiatrie CHU Andrainjato Fianarantsoa. Rev. Malg. Ped. 2019;2(1):110-118.
Sepulveda E, Fonseca EV, Yunda LF, et al. Extrapulmonary Tuberculosis in Colombian Children: Epidemiological and Clinical Data in a Reference Hospital . Int J Mycobacteriol. 2017;6:132-7.
Balkissou A, Donkou F, Adamou D et al. Incidence and Predictors of Poor Outcome among childhood Tuberculosis in the North of Cameroon, Regional Hospital of Garoua, Cameroon. 2022; Health sci. dis ; 23(8): 15-21.
Chahboune M, Barkaoui M, Iderdar Y, et al. Epidemiological profile and diagnostic and evolutionary features of TB patients at the Diagnostic Centre for Tuberculosis and Respiratory Diseases in Settat, Morocco. The Pan African Medical Journal 42 (2022): 185.
Wang B, Xiangzhen G, Yuling H, et al. Epidemiological Characteristics of Common Respiratory Infectious Diseases in Children before and during the COVID-19 Epidemic. Frontiers in Pediatrics 11 (2023): 1212658.
Department of Epidemiology and Disease Control. National Care Guide of Tuberculosis in Children and Adolescents. 2020. Available from: Guide PEC TB enfant et adolescent VF réctifiée 29 nov 2020.pdf.
Vecchio A, Scarano S, Amato C, et al. Effects of COVID-19 pandemic on pediatric tuberculosis: decrease in notification rates and increase in clinical severity. Eur J Pediatr. 2023;182(7):3281–3285.
Lakoh S, Jiba DF, Baldeh M, Adekanmbi O, Barrie U, Seisay AL, et al. Impact of COVID-19 on Tuberculosis Case Detection and Treatment Outcomes in Sierra Leone. Trop Med Infect Dis. 2021 Aug 19;6(3):154.
Muniz R, Tina Le, Cuevas-Mota J, et al. Impact of Covid-19 on tuberculosis detection and treatment in Baja California, Mexico, Frontiers in Public Health. 2022 :10 :921596.
D. Behera. TB control in India in the COVID era. Indian Journal of Tuberculosis, 2021.128-133.
Beyene N, Sitotaw A, Tegegn B. The impact of COVID-19 on the tuberculosis control activities in Addis Ababa. Pan Afr Med J. 2021.8 :38 :243.
Macintyre C. Case isolation, contact tracing, and physical distancing are pillars of COVID-19 pandemic control, not optional choices. Lancet Infect Dis. 2020;20(10):1105-1106.
Yuen K, Ye Z, Fung S, et al. SARS-CoV-2 and COVID-19: The most important research questions. Cell Biosci. 2020;10:40.
Hogan A, Jewell B, Sherrard-Smith E, et al. Potential impact of the COVID-19 pandemic on HIV, tuberculosis, and malaria in low-income and middle-income countries: a modelling study. Lancet Glob Health. 2020;8(9):e1132-e1141.
Kruk M, Gage A, Joseph N, et al. Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. Lancet. 2018;392(10160):2203-2212.
Dye C, Williams B.The population dynamics and control of tuberculosis. Science. 2010;328(5980):856-861.
Forni G, Mantovani A, Forni G, Mantovani A, Moretta . COVID-19 vaccines: where we stand and challenges ahead. Cell Death Differ. 2021;28(2):626-639.
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