Impact of the COVID-19 pandemic on the temporal trend of indicators for access to tuberculosis diagnosis: A systematic review

Authors

  • Mariana Gaspar Botelho Funari de Faria Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil https://orcid.org/0000-0002-5544-910X
  • Rubia Laine de Paula Andrade Gonçalves Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil https://orcid.org/0000-0001-5843-1733
  • Livia Maria Lopes Municipal University Centre of Franca (Uni-FACEF), Franca, São Paulo, Brazil
  • Elisangela Fransiscon Naves Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Rafaele Oliveira Bonfim Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Diogo Henrique Mendes da Silva Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil https://orcid.org/0000-0003-4011-3918
  • Ana Beatriz Marques Valença Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Valdes Roberto Bollela Ribeirão Preto School of Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Maria Josefa Perón Rujula Centro de Vigilância Epidemiológica (CVE) da Secretaria Estadual de Saúde de São Paulo, São Paulo, São Paulo, Brazil
  • Ricardo Alexandre Arcêncio Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Ione Carvalho Pinto Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Pedro Fredemir Palha Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil https://orcid.org/0000-0002-5220-4529
  • Jaqueline Garcia de Almeida Balestero Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
  • Dulce Gomes School of Science and Technology, Universidade de Évora, Évora, Alentejo, Portugal https://orcid.org/0000-0001-8085-1945
  • Zhiting Guo School of Nursing, Johns Hopkins University, Baltimore, MD, United States
  • Jason Farley School of Nursing, Johns Hopkins University, Baltimore, MD, United States
  • Nancy Reynolds School of Nursing, Johns Hopkins University, Baltimore, MD, United States
  • Aline Aparecida Monroe Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil

DOI:

https://doi.org/10.3855/jidc.21045

Keywords:

COVID-19, tuberculosis, diagnosis, time series analysis

Abstract

Introduction: The COVID-19 pandemic influenced the behaviour of numerous diseases, overloading health systems and weakening public health infrastructure and access.

Methodology: This study aimed to analyse the repercussions of the COVID-19 pandemic on tuberculosis diagnosis indicators. A systematic review was conducted, examining studies published between 2020 and 2024 in Portuguese, English, or Spanish across five databases and Google Scholar. The search, performed in March 2024, led to the identification of 6,378 studies, of which 23 were included after an independent review of titles, abstracts, and full texts. Data were extracted and narratively synthesized following a methodological quality assessment.

Results: The review revealed significant declines in TB incidence, detection, notification, and diagnosis during the pandemic, alongside reduced etiological confirmation of cases.

Conclusions: The findings highlight a need to reorganize and enhance health service responses to address the disruptions caused by the pandemic. Strengthening these services is crucial to recover missed TB cases and improve indicators, supporting the goal of eliminating TB by 2030.

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Published

2025-09-30

How to Cite

1.
Gaspar Botelho Funari de Faria M, de Paula Andrade Gonçalves RL, Maria Lopes L, Fransiscon Naves E, Oliveira Bonfim R, Mendes da Silva DH, Marques Valença AB, Roberto Bollela V, Perón Rujula MJ, Alexandre Arcêncio R, Carvalho Pinto I, Fredemir Palha P, Garcia de Almeida Balestero J, Gomes D, Guo Z, Farley J, Reynolds N, Aparecida Monroe A (2025) Impact of the COVID-19 pandemic on the temporal trend of indicators for access to tuberculosis diagnosis: A systematic review. J Infect Dev Ctries 19:1314–1321. doi: 10.3855/jidc.21045

Issue

Vol. 19 No. 09: September 2025

Section

Coronavirus Pandemic

License

Copyright (c) 2025 Mariana Gaspar Botelho Funari de Faria, Rubia Laine de Paula Andrade Gonçalves, Livia Maria Lopes, Elisangela Fransiscon Naves, Rafaele Oliveira Bonfim, Diogo Henrique Mendes da Silva, Ana Beatriz Marques Valença, Valdes Roberto Bollela, Maria Josefa Peron Rujula, Ricardo Alexandre Arcêncio, Ione Carvalho Pinto, Pedro Fredemir Palha, Jaqueline Garcia de Almeida Balestero, Dulce Gomes, Zhiting Guo, Jason Farley, Nancy Reynolds, Aline Aparecida Monroe

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