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Tuberculosis Co-Infection Is Common in Patients Requiring Hospitalization for COVID-19 in Belarus: Mixed-Methods Study

Author

Listed:
  • Yuliia Sereda

    (World Health Organization Regional Office for Europe, Marmorvej 51, DK-2100 Copenhagen, Denmark)

  • Oleksandr Korotych

    (World Health Organization Regional Office for Europe, Marmorvej 51, DK-2100 Copenhagen, Denmark)

  • Dzmitry Klimuk

    (Republican Scientific and Practical Centre for Pulmonology and Tuberculosis, 157 Dolginovskij trakt, 220053 Minsk, Belarus)

  • Dzmitry Zhurkin

    (Republican Scientific and Practical Centre for Pulmonology and Tuberculosis, 157 Dolginovskij trakt, 220053 Minsk, Belarus)

  • Varvara Solodovnikova

    (Republican Scientific and Practical Centre for Pulmonology and Tuberculosis, 157 Dolginovskij trakt, 220053 Minsk, Belarus)

  • Malgorzata Grzemska

    (World Health Organization Regional Office for Europe, Marmorvej 51, DK-2100 Copenhagen, Denmark)

  • Viatcheslav Grankov

    (World Health Organization Country Office in Belarus, Fabriciusa str. 28 (Room 401), 220007 Minsk, Belarus)

  • Hennadz Hurevich

    (Republican Scientific and Practical Centre for Pulmonology and Tuberculosis, 157 Dolginovskij trakt, 220053 Minsk, Belarus)

  • Askar Yedilbayev

    (World Health Organization Regional Office for Europe, Marmorvej 51, DK-2100 Copenhagen, Denmark)

  • Alena Skrahina

    (Republican Scientific and Practical Centre for Pulmonology and Tuberculosis, 157 Dolginovskij trakt, 220053 Minsk, Belarus)

Abstract

A significant drop in tuberculosis (TB) case-finding has been widely reported during the period of the COVID-19 pandemic. To address a decrease in TB notification, Belarus introduced laboratory TB testing in patients with the laboratory-confirmed coronavirus disease 2019 (COVID-19). We conducted a secondary analysis of health records among 844 patients with laboratory-confirmed COVID-19 diagnosis who were admitted to repurposed departments at TB hospitals and who were tested by Xpert MTB/RIF (Cepheid Inc., Sunnyvale, CA, USA) in five Belarus regions between April and October 2021. Quantitative analysis followed by 13 individual interviews with health managers, physicians, and nurses participating in the intervention. Most patients were male (64%) and mean age was 43.5 ± 16 years. One in twenty (n = 47, 5.6%) patients were co-infected with active pulmonary TB, and over one-third of them (n = 18) had rifampicin resistance. In-hospital mortality was comparable in patients with and without TB co-infection (2.1% and 2.3% respectively, p > 0.99). Laboratory TB testing among patients with COVID-19 at repurposed departments of TB hospitals is feasible in Belarus and may improve TB case-finding.

Suggested Citation

  • Yuliia Sereda & Oleksandr Korotych & Dzmitry Klimuk & Dzmitry Zhurkin & Varvara Solodovnikova & Malgorzata Grzemska & Viatcheslav Grankov & Hennadz Hurevich & Askar Yedilbayev & Alena Skrahina, 2022. "Tuberculosis Co-Infection Is Common in Patients Requiring Hospitalization for COVID-19 in Belarus: Mixed-Methods Study," IJERPH, MDPI, vol. 19(7), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4370-:d:787326
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    References listed on IDEAS

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    1. Arthur Eumann Mesas & Iván Cavero-Redondo & Celia Álvarez-Bueno & Marcos Aparecido Sarriá Cabrera & Selma Maffei de Andrade & Irene Sequí-Dominguez & Vicente Martínez-Vizcaíno, 2020. "Predictors of in-hospital COVID-19 mortality: A comprehensive systematic review and meta-analysis exploring differences by age, sex and health conditions," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-23, November.
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