Impact of COVID-19 on child tuberculosis hospitalization


Sanae Zaidi
Abderrahmane Errami
Ikbal Belkhou
Meryem Elkhaldi
Fatima Ailal
Ibtihal Benhsaien
Fatima Adnane
Naima Amenzoui
Abdelhak Abkari
Ahmed Aziz Bousfiha


Introduction: 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.

Aim: 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).

Conclusion: 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 ...(abstract truncated at 250 words).


TB epidemiology , childhood TB , COVID-19 , extrapulmonary TB , TB hospitalization , Morocco



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