On reasons for growth of post-mortem diagnoses of tuberculosis in recent years

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Abstract

Objective. To study the incidence of postmortem tuberculosis in the recent years.

Materials and methods. According to the data of the Federal Forms of Statistical Reports for 2013–2022, the tuberculosis incidence and mortality, frequency of postmortem diagnoses of tuberculosis cases, medical aid appealability of population, and coverage of preventive fluorographic examinations were studied on the territory of Perm Region.

Results. It was found that against the background of a decrease in tuberculosis morbidity and mortality from this infection for 2020–2022, the total of all first identified cases showed an increase in the proportion of the postmortem cases of tuberculosis. It was revealed that late diagnostics of tuberculosis is associated with a decrease in the number of requests for medical assistance and the coverage of fluorographic examinations due to COVID-19 epidemic.

Conclusions. The increase in the share of postmortem diagnoses of tuberculosis cases has been noted in the total of all first identified tuberculosis cases for the period of 2020–2022 against the background of a new coronavirus infection epidemic.

About the authors

V. I. Sergevnin

E.A. Vagner Perm State Medical University

Email: olga_tukacheva@mail.ru
ORCID iD: 0000-0002-2729-2248

MD, PhD, Professor, Department of Epidemiology and Hygiene

Russian Federation, Perm

V. S. Podyukov

Clinical Phthisiopulmonological Medical Center

Email: olga_tukacheva@mail.ru
ORCID iD: 0009-0007-2865-1787

Head of the Epidemiological Department, epidemiologist

Russian Federation, Perm

O. V. Tukacheva

Perm Regional Center for Prevention and Control of AIDS and Infectious Diseases

Author for correspondence.
Email: olga_tukacheva@mail.ru
ORCID iD: 0000-0003-4991-8325

epidemiologist

Russian Federation, Пермь

O. S. Zhuravlev

Perm Regional Center for Prevention and Control of AIDS and Infectious Diseases

Email: olga_tukacheva@mail.ru
ORCID iD: 0009-0009-1363-2908

epidemiologist

Russian Federation, Perm

References

  1. Aridja U.M., Gallo L.G., Oliveira A.F.M., Silva A.W., Duarte E.C. Tuberculosis cases with post-mortem notification in Brazil, 2014: a descriptive study based on surveillance data. Epidemiol Serv Saude. 2020; 29 (5): e2020060. doi: 10.1590/S1679-49742020000500014.
  2. Shilova M.V. Tuberculosis in Russia. Mortality of population from tuberculosis. Medical alphabet 2018; 1 (10): 42–50 (in Russian).
  3. Sergevnin V.I., Tukacheva O.V., Mikova O.E., Rozhkova M.V. Long-Term Dynamics of HIV-Infected Mortality and Risk Factors of the Lethal Outcome in the Presence and Absence of Concomitant Tuberculosis. Epidemiology and Vaccinal Prevention 2022; 21 (6): 48–58. doi: 10.31631/2073-3046-2022-21-6-48-58 (in Russian).
  4. Vasilyeva I.А., Testov V.V., Sterlikov S.А. Tuberculosis situation in the years of the COVID-19 pandemic – 2020–2021. Tuberculosis and Lung Diseases 2022; 100 (3): 6–12. doi: 10.21292/2075-1230-2022-100-3-6-12 (in Russian).
  5. Sergevnin V.I., Tukacheva O.V. Manifestations of the Epidemic Process of Tuberculosis among HIV-infected in Comparison with the General Population. Epidemiology and Vaccinal Prevention 2023; 22 (2): 79–85. DOI: 10.31631/ 2073-3046-2023-22-2-79-85 (in Russian).

Supplementary files

Supplementary Files
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2. Fig. 1. Long-term dynamics of morbidity and mortality from tuberculosis in the population of the Perm Territory, per 100 thousand population

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3. Рис. 2. Доля больных туберкулезом, диагностированным посмертно, от общего количества впервые выявленных случаев туберкулеза, %

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4. Fig. 3. Coverage of the population over 15 years of age with fluorographic examinations in the Perm Territory, %

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