Abstract：
BACKGROUND: Morocco has made remarkable progress in the fight against tuberculosis, but the Covid-19 pandemic has affected tuberculosis control worldwide, with notable fluctuations in tuberculosis epidemiology during and after the pandemic.
OBJECTIVE: To describe the impact of the Covid-19 pandemic on the rate of hospitalization for tuberculosis and its different localizations in children.
METHODS: We conducted a retrospective study based on the analysis of medical records of TB patients hospitalized within the Children\'s Hospital in Casablanca, during the periods before (2018-2019), during (2020) and after (2021-2022) Covid-19 quarantine.
RESULTS: Throughout the study period (2018-2022), the total number of patients hospitalized in our department was 7390, including 283 children were hospitalized for tuberculosis, with a mean age of 6 years. Before the Covid-19 pandemic, the average number of tuberculosis cases was 49 per year, of which the percentage of pulmonary tuberculosis was 32% and extra-pulmonary tuberculosis 68%. The number of cases was 23 per year during the quarantine period, with a percentage of pulmonary tuberculosis of 26% and extra-pulmonary tuberculosis of 74%. After the quarantine period, this number rose to 81 cases per year, of which 21% were pulmonary tuberculosis and 79% extrapulmonary tuberculosis (pleural tuberculosis was predominant in 44.1% of cases).
CONCLUSIONS: These results are consistent with data published by the World Health Organization, and with the findings of another study we carried out on the impact of COVID-19 on hospital admissions for acute lower respiratory tract infections. It is very likely that the reduction in the number of tuberculosis cases during the quarantine period is due to social distancing, which leads to a reduction in the transmission of tuberculosis between people as well as to the disruption of the national tuberculosis control program in Morocco, when positive cases are identified.
OBJECTIVE: To describe the impact of the Covid-19 pandemic on the rate of hospitalization for tuberculosis and its different localizations in children.
METHODS: We conducted a retrospective study based on the analysis of medical records of TB patients hospitalized within the Children\'s Hospital in Casablanca, during the periods before (2018-2019), during (2020) and after (2021-2022) Covid-19 quarantine.
RESULTS: Throughout the study period (2018-2022), the total number of patients hospitalized in our department was 7390, including 283 children were hospitalized for tuberculosis, with a mean age of 6 years. Before the Covid-19 pandemic, the average number of tuberculosis cases was 49 per year, of which the percentage of pulmonary tuberculosis was 32% and extra-pulmonary tuberculosis 68%. The number of cases was 23 per year during the quarantine period, with a percentage of pulmonary tuberculosis of 26% and extra-pulmonary tuberculosis of 74%. After the quarantine period, this number rose to 81 cases per year, of which 21% were pulmonary tuberculosis and 79% extrapulmonary tuberculosis (pleural tuberculosis was predominant in 44.1% of cases).
CONCLUSIONS: These results are consistent with data published by the World Health Organization, and with the findings of another study we carried out on the impact of COVID-19 on hospital admissions for acute lower respiratory tract infections. It is very likely that the reduction in the number of tuberculosis cases during the quarantine period is due to social distancing, which leads to a reduction in the transmission of tuberculosis between people as well as to the disruption of the national tuberculosis control program in Morocco, when positive cases are identified.
摘要：
背景：摩洛哥在防治结核病方面取得了显著进展，但是Covid-19大流行影响了全世界的结核病控制，在大流行期间和之后，结核病流行病学出现了明显的波动。
目的：描述新冠肺炎大流行对结核病住院率及其在儿童中的不同定位的影响。
方法：我们根据卡萨布兰卡儿童医院住院的结核病患者的病历分析，进行了一项回顾性研究。在之前的时期(2018-2019年)，在（2020年）和（2021-2022年）Covid-19检疫期间。
结果：在整个研究期间（2018-2022年），我们部门住院的患者总数为7390，其中283名儿童因结核病住院，平均年龄6岁。在Covid-19大流行之前，结核病平均每年49例，其中肺结核占32%，肺外肺结核占68%。检疫期间每年的病例数为23例,肺结核的比例为26%，肺外肺结核的比例为74%。隔离期后,这个数字上升到每年81例，其中21％为肺结核，79％为肺外结核（在44.1％的病例中以胸膜结核为主）。
结论：这些结果与世界卫生组织公布的数据一致，以及我们进行的关于COVID-19对急性下呼吸道感染住院的影响的另一项研究的结果。检疫期间结核病病例减少很有可能是由于社会距离,这导致人与人之间结核病传播的减少，以及摩洛哥国家结核病控制计划的中断，当确定阳性病例时。
目的：描述新冠肺炎大流行对结核病住院率及其在儿童中的不同定位的影响。
方法：我们根据卡萨布兰卡儿童医院住院的结核病患者的病历分析，进行了一项回顾性研究。在之前的时期(2018-2019年)，在（2020年）和（2021-2022年）Covid-19检疫期间。
结果：在整个研究期间（2018-2022年），我们部门住院的患者总数为7390，其中283名儿童因结核病住院，平均年龄6岁。在Covid-19大流行之前，结核病平均每年49例，其中肺结核占32%，肺外肺结核占68%。检疫期间每年的病例数为23例,肺结核的比例为26%，肺外肺结核的比例为74%。隔离期后,这个数字上升到每年81例，其中21％为肺结核，79％为肺外结核（在44.1％的病例中以胸膜结核为主）。
结论：这些结果与世界卫生组织公布的数据一致，以及我们进行的关于COVID-19对急性下呼吸道感染住院的影响的另一项研究的结果。检疫期间结核病病例减少很有可能是由于社会距离,这导致人与人之间结核病传播的减少，以及摩洛哥国家结核病控制计划的中断，当确定阳性病例时。
