The Impact of the COVID-19 Pandemic on Epidemiological Situation in Children in Smolensk Oblast
https://doi.org/10.58838/2075-1230-2025-103-1-23-29
Abstract
The objective: to assess the impact of the COVID-19 pandemic on epidemiological situation, regularity of preventive screening, and structure of clinical forms of new pediatric tuberculosis cases in Smolensk Oblast in 2015-2019 and during the pandemic in 2020-2022.
Subjects and Methods. We studied the incidence, coverage with preventive screening, exposure to tuberculosis infection, age and clinical structure of tuberculosis (TB), presence of lung tissue decay, positive results of sputum tests, and drug resistance covering two periods of 2015-2019 and 2020-2022 in children and adolescents in Smolensk Oblast.
Results. During the pandemic, tuberculosis incidence in children and adolescents tended to increase and exceeded the Russian average rate, while the coverage with preventive screening decreased. A higher number of children and adolescents infected with tuberculosis after exposure to two and more TB cases and exposure to fatal and drug resistant cases was established. Local forms of respiratory tuberculosis predominated the in structure of clinical forms; however, during the COVID-19 pandemic, the proportion of the disease with pulmonary tissue destruction and positive results of sputum tests increased sharply among both children and adolescents indicating the late detection.
Conclusion. In the event of any pandemic, preventive screening for tuberculosis should be maintained as much as possible and measures should be in place to avoid exposure of children to infectious tuberculosis cases.
About the Authors
E. A. Lobanova
Smolensk State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Elizaveta A. Lobanova - Resident of Phthisiopulmonology Department
33 Moskovskoye Highway, Smolensk, 214005 Russia Phone: +7 (4812) 55-02-75
A. A. Borisevich
Smolensk State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Angelina A. Borisevich - Resident of Phthisiopulmonology Department
33 Moskovskoye Highway, Smolensk, 214005 Russia Phone: +7 (4812) 55-02-75
T. V. Myakisheva
Smolensk State Medical University, Russian Ministry of Health
Russian Federation
Russian Federation
Tatiana V. Myakisheva - Doctor of Medical Sciences, Associate Professor, Head of Phthisiopulmonology Department
33 Moskovskoye Highway, Smolensk, 214005 Russia Phone: +7 (4812) 55-02-75
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Review
For citations:
Lobanova E.A., Borisevich A.A., Myakisheva T.V. The Impact of the COVID-19 Pandemic on Epidemiological Situation in Children in Smolensk Oblast. Tuberculosis and Lung Diseases. 2025;103(1):23-29. (In Russ.) https://doi.org/10.58838/2075-1230-2025-103-1-23-29
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