INTRODUCTION: Tuberculosis is a relevant global public health problem. Although reports of the World Health Organization show decrease in overall mortality rates, Colombia and Medellin show no significant decline. OBJECTIVE: To describe the sociodemographic, clinical, diagnosis, and treatment characteristics of patients who died due to tuberculosis in Medellin, Colombia, during 2012. MATERIALS AND METHODS: A descriptive study of tuberculosis deaths reported in the city. RESULTS: 93 deaths were identified, of which 32 were confirmed as directly caused by tuberculosis (34.4%); in 23 deaths (24.7%) tuberculosis was an associated cause. Co-morbidities were found in 34 patients (61.7%), HIV being the most common with 18 cases important(32.7%). Social risk factors such as being homeless, drug addiction or having no fixed address were found in 32 cases (58.1%); and there were deficiencies in the healthcare system in 26 cases (47.2%). No meaningful delay in the onset of anti-tuberculosis treatment was found after the microbiological diagnosis; however, 64% of patients did not adhere to treatment. CONCLUSION: Mortality caused by tuberculosis in Medellin is a relevant problem associated with delays in diagnosis of the disease and lack of adherence to treatment.
INTRODUCTION:Tuberculosis is a relevant global public health problem. Although reports of the World Health Organization show decrease in overall mortality rates, Colombia and Medellin show no significant decline. OBJECTIVE: To describe the sociodemographic, clinical, diagnosis, and treatment characteristics of patients who died due to tuberculosis in Medellin, Colombia, during 2012. MATERIALS AND METHODS: A descriptive study of tuberculosis deaths reported in the city. RESULTS: 93 deaths were identified, of which 32 were confirmed as directly caused by tuberculosis (34.4%); in 23 deaths (24.7%) tuberculosis was an associated cause. Co-morbidities were found in 34 patients (61.7%), HIV being the most common with 18 cases important(32.7%). Social risk factors such as being homeless, drug addiction or having no fixed address were found in 32 cases (58.1%); and there were deficiencies in the healthcare system in 26 cases (47.2%). No meaningful delay in the onset of anti-tuberculosis treatment was found after the microbiological diagnosis; however, 64% of patients did not adhere to treatment. CONCLUSION: Mortality caused by tuberculosis in Medellin is a relevant problem associated with delays in diagnosis of the disease and lack of adherence to treatment.
Authors: Carlos Navas; Carlos A Torres-Duque; Joe Munoz-Ceron; Carlos Álvarez; Juan R García; Luis Zarco; Lázaro A Vélez; Carlos Awad; Carlos Alberto Castro Journal: Mult Scler J Exp Transl Clin Date: 2018-01-17
Authors: Ana Angélica Rêgo de Queiroz; Thaís Zamboni Berra; Maria Concebida da Cunha Garcia; Marcela Paschoal Popolin; Aylana de Souza Belchior; Mellina Yamamura; Danielle Talita Dos Santos; Luiz Henrique Arroyo; Ricardo Alexandre Arcêncio Journal: Rev Lat Am Enfermagem Date: 2018-05-07