title: [Analysis of mortality caused by tuberculosis in Medellín, Colombia, 2012].
abstract: BACKGROUND
  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.
  
  
  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.
  
  
  CONCLUSIONS
  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.affiliation: Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Liliana
authors.initials: L
authors.lastname: Villa
authors.affiliation: Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Iván Mauricio
authors.initials: IM
authors.lastname: Trompa
authors.affiliation: Programa de Control de Tuberculosis y Lepra, Secretaría de Salud de Medellín, Medellín, Colombia.
authors.forename: Fernando Nicolás
authors.initials: FN
authors.lastname: Montes
authors.affiliation: Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Joaquín Guillermo
authors.initials: JG
authors.lastname: Gómez
authors.affiliation: Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Carlos Andrés
authors.initials: CA
authors.lastname: Restrepo
mesh_terms: D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D002318:Cardiovascular Diseases / Q000453:epidemiology; D003105:Colombia / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006703:Ill-Housed Persons / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D012943:Social Security / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D014376:Tuberculosis / Q000188:drug therapy / Q000401:mortality*; D018088:Tuberculosis, Multidrug-Resistant / Q000401:mortality; D014505:Urban Population / Q000706:statistics & numerical data*; D016903:Drug Monitoring
chemical_list: D000995:Antitubercular Agents