<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0123-9392</journal-id>
<journal-title><![CDATA[Infectio]]></journal-title>
<abbrev-journal-title><![CDATA[Infect.]]></abbrev-journal-title>
<issn>0123-9392</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Infectología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0123-93922025000200095</article-id>
<article-id pub-id-type="doi">10.22354/24223794.1225</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a la adherencia terapéutica y desenlaces clínicos en pacientes con tuberculosis en el Departamento del Atlántico, Colombia (2021-2023)]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with treatment adherence and clinical outcomes in tuberculosis patients in the Department of Atlántico, Colombia (2021-2023)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Olivares]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-González]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Donado-Mercado]]></surname>
<given-names><![CDATA[Anabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Villanueva]]></surname>
<given-names><![CDATA[Magda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez-Vargas]]></surname>
<given-names><![CDATA[Alex]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Torres]]></surname>
<given-names><![CDATA[Henry J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Simón Bolívar Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Simón Bolívar Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Simón Bolívar Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Simón Bolívar Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad del Norte  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Simón Bolívar Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>95</fpage>
<lpage>105</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0123-93922025000200095&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0123-93922025000200095&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0123-93922025000200095&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La tuberculosis (TB) sigue siendo una de las principales causas de morbilidad y mortalidad a nivel mundial, a pesar de los esfuerzos globales para su control y erradicación. El objetivo de este estudio es caracterizar la TB en el Departamento del Atlántico (2021-2023), analizando factores sociodemográficos, clínicos y adherencia terapéutica para informar la toma de decisiones en salud pública.  Materiales y Métodos: Estudio observacional, retrospectivo y analítico en pacientes mayores de 18 años con diagnóstico microbiológico confirmado de TB. Se analizaron variables sociodemográficas, clínicas, adherencia terapéutica y comorbilidades mediante estadísticas descriptivas y modelos de regresión logística multivariada.  Resultados: Se incluyeron 1133 pacientes, el 62% hombres, con una mediana de edad de 42 años. El 69% pertenecían al régimen subsidiado. Las comorbilidades más frecuentes fueron desnutrición (18%) y coinfección por VIH (12%). La adherencia terapéutica fue del 89%, menor en pacientes sin aseguramiento y con TB pulmonar. La trombocitopenia y la coinfección por VIH se asociaron con peores desenlaces clínicos.  Discusión: La TB sigue siendo un reto significativo en el Atlántico. Es prioritario optimizar estrategias de adherencia terapéutica y manejo de comorbilidades para reducir la mortalidad y mejorar los resultados clínicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Tuberculosis (TB) remains one of the leading causes of morbidity and mortality worldwide, despite global efforts for its control and eradication. The aim of this study was to characterize TB in the Department of Atlántico (2021-2023) and analyze sociodemographic factors, clinical factors, and treatment adherence to inform public health decision-making.  Materials and Methods: Observational, retrospective, and analytical study of patients over 18 years old with microbiologically confirmed TB. Sociodemographic and clinical variables, treatment adherence, and comorbidities were analyzed using descriptive statistics and multivariate logistic regression models.  Results: A total of 1,133 patients were included, 62% of whom were male, with a median age of 42 years. Of these, 69% were enrolled in the subsidized health system. The most common comorbidities were malnutrition (18%) and HIV coinfection (12%). Treatment adherence was 89%, lower among patients without insurance and those with pulmonary TB. Thrombocytopenia and HIV coinfection were associated with worse clinical outcomes.  Discussion: TB remains a significant challenge in Atlántico. It is crucial to optimize strategies for improving treatment adherence and managing comorbidities to reduce mortality and enhance clinical outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[adherencia terapéutica]]></kwd>
<kwd lng="es"><![CDATA[comorbilidades]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Colombia]]></kwd>
<kwd lng="en"><![CDATA[Tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[treatment adherence]]></kwd>
<kwd lng="en"><![CDATA[comorbidities]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Colombia]]></kwd>
</kwd-group>
</article-meta>
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