title: [Tuberculosis and drug-resistance tuberculosis in prisoners. Colombia, 2010-2012].
abstract: OBJECTIVE
  To characterize tuberculosis drug-resistance using anti-tuberculosis drug-sensitivity tests in Colombian prisoners.
  
  
  METHODS
  Descriptive-retrospective analyses were performed on cases of tuberculosis in prisoners. Samples were evaluated by the National Reference Laboratory. Conditions like gender, TB/VIH co-infection and drug-resistance were evaluated.
  
  
  RESULTS
  Anti-tuberculosis drug-sensitivity tests were carried out on 72 prisoners. Results showed a distribution of 90.7 % of cases in males and 9.3 % of cases in females. 12 % of cases were TB/VIH co-infections, 94 % of the cases had not received any anti-tuberculosis treatment before, six isolates were drug-resistant corresponding to 8.8 % of total cases, and two cases were multi drug-resistant representing 1.3 % of the cases. Of the drug-resistant cases, 83.3 % were TB/VIH co-infected. Previously treated cases corresponded to 5.6 % of the total cases analyzed. One case with TB/VIH co-infection and rifampicin resistance was observed, representing 1.3 % of the total cases.
  
  
  CONCLUSIONS
  The government must create a clear policy for prisoners in Colombia, because a high rate of disease in prisoners was observed. In addition, the results showed an association between drug-resistance and TB/VIH co-infection. Overcrowding and low quality of life in penitentiaries could become an important public health problem.
authors.affiliation: Instituto Nacional de Salud, Bogotá, Colombia.
authors.forename: Ingrid T
authors.initials: IT
authors.lastname: Gómez
authors.affiliation: Instituto Nacional de Salud, Bogotá, Colombia.
authors.forename: Claudia R
authors.initials: CR
authors.lastname: Llerena
authors.affiliation: Instituto Nacional de Salud, Bogotá, Colombia.
authors.forename: Angie P
authors.initials: AP
authors.lastname: Zabaleta
mesh_terms: D000328:Adult; D000368:Aged; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis / Q000453:epidemiology*