Organization of activities of TB medical units in the context of the COVID-19 pandemic
https://doi.org/10.21292/2075-1230-2021-99-3-12-17
Abstract
The article analyzes the organization of work of N.V. Postnikov Samara Regional Clinical TB Dispensary in 2020. The special procedure has been developed for COVID-19 tests in patients referred to TB department. All cases of the new coronavirus infection (COVID-19) in tuberculosis patients that occurred in the Samara region in 2020 (n = 31) were studied. Infection control activities are the following: separate filter boxes have been provided for personnel and patients in each department; two observational departments have been organized where patients are admitted depending on the type of medical care. The polymerase chain reaction has been used to examine patients for COVID-19 before admission to TB hospital for planned medical care, and express tests for immunoglobulins M and G have been used when patients were admitted in an emergency. Of the 30 cases of intravital detection of concurrent infections (tuberculosis + COVID-19), in 56.7% (17 people), COVID-19 was treated in the in-patient unit specializing in treatment of the new coronavirus infection, and in 43.3% (13 people), treatment was outpatient; lethality made 1/30 (3.33%).
About the Authors
L. A. Baryshnikova
N. V. Postnikov Samara Regional Clinical TB Dispensary
Russian Federation
Russian Federation
Lada A. Baryshnikova – Doctor of Medical Sciences, Deputy Head Physician for Medical Activities.
154, Novo-Sadovaya St., Samara, 443068.
M. N. Kabaeva
N. V. Postnikov Samara Regional Clinical TB Dispensary
Russian Federation
Russian Federation
Marina N. Kabaeva – Head Physician.
154, Novo-Sadovaya St., Samara, 443068.
N. A. Voekova
N. V. Postnikov Samara Regional Clinical TB Dispensary
Russian Federation
Russian Federation
Natalia A. Voekova – Deputy Head Physician on Reporting and Statistics.
154, Novo-Sadovaya St., Samara, 443068.
N. A. Loginova
N. V. Postnikov Samara Regional Clinical TB Dispensary
Russian Federation
Russian Federation
Natalia A. Loginova – Deputy Head Physician for Epidemiology.
154, Novo-Sadovaya St., Samara, 443068.
I. I. Sirotko
Ministry of Health of Samara Region
Russian Federation
Russian Federation
Ilya I. Sirotko - Doctor of Medical Sciences, Head of Department for Organization of Socially Important and High-Tech Care.
73, Leninskaya St., Samara, 443020
References
1. Veselova E.I., Russkikh А.E., Kaminskiy G.D., Lovacheva O.V., Samoylova А.G., Vasilyeva I.А. Novel coronavirus infection. Tuberculosis and Lung Diseases, 2020, no. 4, pp. 6-14. (In Russ.) https://doi.org/10.21292/2075-1230-2020-98-4-6-14.
2. Ekaterincheva O.L., Malkova А.M., Karev V.E., Kudryavtsev I.V., Zinchenko Yu.S., Potepun T.B., Kudlay D.А., Starshinova А.А. Specific parameters of tuberculosis diagnostics in case of concurrent COVID-19. Journal Infektologii, 2021, vol. 13, no. 1, pp. 117-123. (In Russ.)
3. Mamaev А.N., Kudlay D.А. Statisticheskiye metody v meditsine. [Statistical methods in medicine]. Moscow, Prakticheskaya Meditsina Publ., 2021, 136 p. ISBN 978-5-98811-635-6.
4. Panova А.E., Kulikova I.B., Lagutkin D.А., Vinokurov А.S., Shulgina M.V., Vasilyeva I.А. Coronaviruses as causative agents of severe respiratory diseases. Tuberculosis and Lung Diseases, 2020, no. 7, pp. 6-13. (In Russ.)
5. Edict no. 129 as of 09.06.2003 by Russian Chief State Sanitary Doctor On Introduction of Sanitary Epidemiological Requirements SP 3.1/3.2.1379-03 On General Requirements for Prevention of Infectious and Parasitic Diseases. (In Russ.)
6. Edict no. 58 as of 18.05.2010 by Russian Chief State Sanitary Doctor On Approval of SanPiN 2.1.3.2630-10 On Sanitary Epidemiological Requirements to Medical Organizations Performing Medical Activities. (In Russ.)
7. Edict no. 27 as of 04.03.2016 by Russian Chief State Sanitary Doctor On Amendement no. 1 to SanPiN 2.1.3.2630-10 On Sanitary Epidemiological Requirements to Medical Organizations Performing Medical Activities. (In Russ.)
8. Edict no. 15 as of 22.05.2020 by Russian Chief State Sanitary Doctor On Approval of Sanitary and Epidemiological Requirements SP 3.1.3597-20 On Prevention of the New Coronavirus Infection (COVID-19). (In Russ.)
9. Edict no. 198 as of 19.03.2020 by the Russian Ministry of Health On Temporary Order for Organization of Work of Medical Organizations in order to Prevent and Reduce the Risks of the Spread of New Coronavirus Infection COVID-19. (In Russ.)
10. Pshenichnaya N.Yu., Veselova E.I., Semenova D.А., Ivanova S.S., Zhuravlev А.S. COVID-19 - a new global threat to humanity. Epidemiologiya i Infektsionnye Bolezni, Aktualnye Voprosy, 2020, vol. 10, no. 1, pp. 6-13. (In Russ.) doi: 10.18565/epidem.2020.10.1.6-13.
11. Pshenichnaya N.Yu., Lizinfeld I.А., Zhuravlev G.Yu., Ploskireva А.А., Аkimkin V.G. The COVID-19 epidemic in the Russian Federation: interim results. Report 1. Infectious Diseases (Infektsionnye Bolezni), 2020, vol. 18, no. 3, pp. 7-14. (In Russ.)
12. Starshinova А.А., Kushnareva E.А., Kudlay D.А., Dovgalyuk I.F. Treatment options for COVID-19 patients: analysis of literature data. Translyatsionnaya Meditsina, 2020, vol. 7, no. 3, pp. 30-37. (In Russ.)
13. Starshinova А.А., Kushnareva E.А., Malkova А.M., Dovgalyuk I.F., Kudlay D.А. New coronavirus infection: specific parameters of the clinical course, diagnosis opportunities, treatment and prevention of the infection in adults and children. Voprosy Sovremennoy Pediatrii, 2020, vol. 19, no. 2, pp. 123-131. (In Russ.)
14. WHO, Coronavirus disease (COVID-19) pandemic. Geneva, WHO, 2020. Available: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
Review
For citations:
Baryshnikova L.A., Kabaeva M.N., Voekova N.A., Loginova N.A., Sirotko I.I. Organization of activities of TB medical units in the context of the COVID-19 pandemic. Tuberculosis and Lung Diseases. 2021;99(3):12-17. (In Russ.) https://doi.org/10.21292/2075-1230-2021-99-3-12-17
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