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Revista de Salud Pública

Print version ISSN 0124-0064

Abstract

GOMEZ, Ingrid T; LLERENA, Claudia R  and  ZABALETA, Angie P. Tuberculosis and drug-resistance tuberculosis in prisoners. Colombia, 2010-2012. Rev. salud pública [online]. 2015, vol.17, n.1, pp.97-105. ISSN 0124-0064.  http://dx.doi.org/10.15446/rsap.v17n1.50937.

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. Conclusion 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.

Keywords : Mycobacterium tuberculosis; prisoners; vulnerable populations; pulmonary tuberculosis; public health.

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