Impact of the COVID-19 Pandemic on Urogenital Tuberculosis in Uzbekistan
https://doi.org/10.21292/2075-1230-2022-100-12-39-43
Abstract
The objective: to determine the impact of the COVID-19 pandemic on the structure and course of urogenital tuberculosis (UGTB) in Uzbekistan.
Subjects and Methods. A retrospective cohort comparative study of the urogenital tuberculosis structure by clinical data for 2018-2021 was carried out. The data of 2,866 patients with extrapulmonary tuberculosis were analyzed including 1,208 patients with urogenital tuberculosis.
Results. Of the 1,208 patients with urogenital tuberculosis, 327 were registered in 2018, 300 in 2019, 219 in 2020 (the first year of the COVID-19 pandemic), and 362 in 2021. The smallest number of cases registered in 2020 is due to lock-out activities. In 2021, there was a 2-fold increase in the number of patients with co-morbid forms of urogenital tuberculosis versus 2019 (pre-pandemic period). The frequency of detection of Mycobacterium tuberculosis in patients with urogenital tuberculosis in 2021 also increased by 4.3-5 times compared to 2019. The largest number of cases with the co-infection of urogenital tuberculosis and COVID-19 was recorded in 2020 – in 13.2% of identified patients. Concurrent urogenital tuberculosis and encrusting cystitis were observed in 4 (1.1%) patients detected in 2021. The underdetection of urogenital tuberculosis patients in 2020 resulted in the higher proportion of surgeries in 2021.
About the Authors
Z. R. RashidovUzbekistan
Zafar R. Rashidov, Tashkent Pediatric Medical Institute, Doctor of Medical Sciences, Associate Professor of Surgical Diseases Department
223, Bogishamol St., Tashkent
Phone: +998 90 175 51 73
N. N. Parpieva
Uzbekistan
Nargiza N. Parpieva, Doctor of Medical Sciences, Professor, Director
1, Mazhlisiy St., Tashkent, Uzbekistan
Phone: +998 93 181 42 00
S. K. Alidzhanov
Uzbekistan
Sarvar K. Alidzhanov, Doctor of Medical Sciences
1, Mazhlisiy St., Tashkent, Uzbekistan
Phone: +998 93 377 03 03
References
1. Antonov A.V., Vorobiev A.S. Kidney damage in patients with COVID-19. Urologicheskiye Vedomosti, 2021, vol. 11, no. 3, pp. 235-240. (In Russ.)
2. Kulchavenya E.V., Kholtobin D.P., Neymark A.I. The operation of the urology unit during the COVID-19 epidemic. Urologicheskiye Vedomosti, 2020, vol. 10, no. 4, pp. 301-307. (In Russ.)
3. Pushkar D.Yu., Kasyan G.R., Malkhasyan V.A., Sazonova N.A., Shaderkin I.A., Shaderkina V.A. COVID-19: impact on the urological service of the Russian Federation. Eksperimentalnaya i Klinicheskaya Urologiya, 2020, no. 2, pp. 13-17. (In Russ.)
4. Sivkov A.V., Koryakin A.V., Sinyagin A.A., Apolikhin O.I., Kaprin A.D. The genitourinary system and COVID-19: certain aspects. Eksperimentalnaya i Klinicheskaya Urologiya, 2020, no. 2, pp. 18-23. (In Russ.)
5. Desouky E. SARS-CoV-2 tropism: what urologists need to know // Afr. J. Urol. – 2021. – Vol. 27 №1. – P. 23. https://doi.org/10.1186/s12301-021-00126-0.
6. Fu J.G., Xie K.J. Successful treatment of encrusted cystitis: A case report and review of literature. World J. Clin. Cases, 2020, vol. 8, no. 18, pp. 4234-4244.
7. Iacobucci G. COVID-19: all non-urgent elective surgery is suspended for at least three months in England. BMJ, 2020, vol. 368, m1106. doi: 10.1136/bmj.m1106.
8. Meria P., Desgrippes A., Arfi C., Le Duc A. Encrusted cystitis and pyelitis. J. Urol., 1998, no. 160, pp. 3-9.
9. Mumm J.N., Osterman A., Ruzicka M., Stihl C., Vilsmaier T. et al. Urinary Frequency as a Possibly Overlooked Symptom in COVID-19 Patients: Does SARS-CoV-2 Cause Viral Cystitis? Eur. Urol., 2020, vol. 78, no. 4, pp. 624-628. https://doi.org/10.1016/j.eururo.2020.05.013.
10. Naspro R., Da Pozzo L.F. Urology in the time of corona. Nat. Rev. Urol., 2020. Epub ahead of print. doi: 10.1038/s41585-020-0312-1.
11. Ozkan T.A., Yalcin M.S., Dillioglugil O., Cevik I. Encrusted cystitis caused by corynebacterium urealyticum: a case report with novel treatment strategy of intravesical dimethyl sulfoxide. Int. Braz. J. Urol., 2018, no. 44, pp. 1252-1255.
12. Varga Z., Flammer A.J., Steiger P., Haberecker M., Andermatt R. et al. Endothelial cell infection and endotheliitis in COVID-19. The Lancet, 2020, vol. 395 (10234), pp. 1417-1418. https://doi.org/10.1016/S0140-6736(20)30937-5.
13. World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report – 51. Internet. 11 March 2020. Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10. Accessed March 2020.
Review
For citations:
Rashidov Z.R., Parpieva N.N., Alidzhanov S.K. Impact of the COVID-19 Pandemic on Urogenital Tuberculosis in Uzbekistan. Tuberculosis and Lung Diseases. 2022;100(12):39-43. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-12-39-43