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논문 기본 정보

자료유형
학술저널
저자정보
Min Jinsoo (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Daejeon St. Mary's) Kim Hyung Woo (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Incheon St. Mary's) Koo Hyeon-Kyoung (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Ilsan Paik Hospita) 고유상 (한림대학교) Oh Jee Youn (Division of Pulmonary Allergy and Critical Care Medicine Department of Internal Medicine Korea Univ) Kim Jaetae (Division of Tuberculosis Prevention and Control Bureau of Infectious Disease Policy Korea Disease C) 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) Park Young-Joon (Director for Epidemiological Investigation Analysis Director General for Public Health Emergency Pr) Kang Ji Young (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul St. Mary's H) Lee Sung-Soon (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Ilsan Paik Hospita) Park Jae Seuk (Division of Pulmonary Medicine Department of Internal Medicine Dankook University College of Medici) 김주상 (가톨릭대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.43
발행연도
2020.1
수록면
1 - 11 (11page)

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Background: The coronavirus disease 2019 (COVID-19) pandemic caused disruptions to healthcare systems and endangered the control and prevention of tuberculosis (TB). We investigated the nationwide effects of COVID-19 on the national Public-Private Mix (PPM) TB control project in Korea, using monitoring indicators from the Korean PPM monitoring database. Methods: The Korean PPM monitoring database includes data from patients registered at PPM hospitals throughout the country. Data of six monitoring indicators for active TB cases updated between July 2019 and June 2020 were collected. The data of each cohort throughout the country and in Daegu-Gyeongbuk, Seoul Metropolitan Area, and Jeonnam-Jeonbuk were collated to provide nationwide data. The data were compared using the χ2 test for trend to evaluate quarterly trends of each monitoring indicator at the national level and in the prespecified regions. Results: Test coverages of sputum smear (P = 0.622) and culture (P = 0.815), drug susceptibility test (P = 0.750), and adherence rate to initial standard treatment (P = 0.901) at the national level were not significantly different during the study period. The rate of loss to follow-up among TB cases at the national level was not significantly different (P = 0.088);however, the treatment success rate among the smear-positive drug-susceptible pulmonary TB cohort at the national level significantly decreased, from 90.6% to 84.1% (P < 0.001). Treatment success rate in the Seoul metropolitan area also significantly decreased during the study period, from 89.4% to 84.5% (P = 0.006). Conclusion: Our study showed that initial TB management during the COVID-19 pandemic was properly administered under the PPM project in Korea. However, our study cannot confirm or conclude a decreased treatment success rate after the COVID-19 pandemic due to limited data.

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