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Routing of tuberculosis patients in the course of inpatient medical care providing during the time of high alert for COVID-19

Abstract

In the context of rapid spread of the new coronavirus infection, the introduction COVID-19 in in-patient tuberculosis facilities becomes an urgent problem. Expected greater exposure to new coronavirus infection in tuberculosis patients and и more severe course of COVID-19 in them requested a review of the new approaches to organization of diagnostic and treatment, and compliance with security measures by patients and stuff. The work was carried out in order to prevent the introduction of COVID-19 in tuberculosis inpatient clinicв, it nosocomial distribution and creation of conditions for providing quality and affordable medical care to tuberculosis patients. The stages of improving the organization in the conditions of «pavilion» development of the Moscow Research and Clinical Center for Tuberculosis Control described. Method of the expert evaluation and strategic planning (SWOT-analysis) used. As the result, during 5 months neither one case of COVID-19 was introduced in tuberculosis in-patient clinic.

About the Authors

E. M. Bogorodskaya
ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation


I. V. Nozdrevatych
ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation


S. E. Borisov
ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation


E. A. Kotova
ГБУЗ города Москвы «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation


References

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2. Chen Y., Wang Y., Fleming J. et al. Active or latent tuberculosis increases susceptibility to COVID-19 and disease severity // MedRxiv preprint 2020. doi: https://doi.org/10.1101/2020.03.10.20033795.

3. Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. Vital surveillances: the epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID19) // China CDC Weekly. – 2020. – N. 2. – Vol. 8. – P. 113-122.

4. Tadolini M., Codecasa L.R., García-García J.-M. et al. Active tuberculosis, sequelae and COVID-19 co-infection: first cohort of 49 cases // Eur. Respir. J. – 2020. – Vol. 56: 2001398 [https://doi.org/10.1183/ 13993003.01398-2020].


Review

For citations:


Bogorodskaya E.M., Nozdrevatych I.V., Borisov S.E., Kotova E.A. Routing of tuberculosis patients in the course of inpatient medical care providing during the time of high alert for COVID-19. Tuberculosis and socially significant diseases. 2020;(3):10-19. (In Russ.)

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ISSN 2413-0346 (Print)
ISSN 2413-0354 (Online)