BALAI BESAR LABORATORIUM KESEHATAN MASYARAKAT SURABAYA

IMPACT OF TB LABORATORY DIAGNOSIS IN COVID-19 PANDEMIC

01 September 2020 / By Administrator,

Titiek Sulistyowati, Koesprijani, Trias Ervina, Anissa Hermawantu,

Juni Asri, Nurlia Ningsih, Meilinda Rachmawati, Chandra Tyara N, Arief Rahman K,

Sifaul Umroh, Joshua Andika H, Arinda Puteri W

Balai Besar Laboratorium Kesehatan Surabaya, National Reference Laboratory of Mycobacterium tuberculosis culture and susceptibility testing,

East Java, Indonesia.

BACKGROUND
COVID-19 is affecting all countries around the world. Indonesia reported first case on March 2, 2020. Cases increased and spread rapidly throughout Indonesia. All sectors are impacted, including National Tuberculosis Programs. Access to TB diagnostic testing is reduced. Not only because limited human and resources, but also social stigma of having cough or fever that are TB and COVID-19 symptoms. Stigma potentially encouraging TB’s people to hide their illness and delay accessing healthcare.

OBJECTIVE
Study aims to observe trends in the number of TB patients referred for laboratory diagnosis before, during, new normal period of pandemic in National Referral Laboratory. METHOD The data were taken from TB laboratory of BBLK Surabaya for microscopic diagnosis, CDST, Gene X-pert and Line Probe Assay for second line drug (sl-LPA) in January to June 2020.

RESULT
Total laboratory diagnosis have decreased in April, May and June 2020. May is peak of decline. Reduction from previous month were almost 2-3-fold except Gene X-pert (4-fold). Positivity rate reduced 2-3-fold for all laboratory diagnosis. Delivery of specimen references from various provinces also decreased 2-3 times, especially in East Java and Papua. June 2020 all examinations began to increase slightly, although not very significantly.

CONCLUSION
Decrease of TB laboratory diagnosis will greatly affect case findings during COVID-19 pandemic. It will also increase TB transmission rates and affect the transmission termination. NTP must follow up the policies for TB case finding in COVID19 era.

KEYWORDS
Impact, TB laboratory, diagnosis, COVID-19, pandemic

REFERENCES
1.Dirjen P2PML. Protokol TB dalam Pandemi Covid-19 tahun 2020
2.https://www.who.int/docs/default-source/documents/tuberculosis/infonote-tb-covid-19.pdf
3.https://www.who.int/emergencies/diseases/novel-coronavirus-2019
4.https://covid19.go.id/p/berita/infografis-covid-19-22-agustus-2020

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