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Unsuccessful treatment tuberculosis in ecuadorian prisoners: Overcrowding and other factors associated

Abstract:

Tuberculosis is a major contributor to the global burden of disease and has received considerable attention in recent years, particularly in low- and middle-income countries where it is closely associated with HIV/AIDS. The prison setting has been often cited as a possible reservoir of tuberculosis. Poor adherence to treatment is common despite various interventions aimed at improving treatment completion. A cross-sectional, retrospective and descriptive study was carried out among inmates of two prisons.We analyzed the diagnosis of TB, the TB-HIV comorbidity and the completion of the treatment from the national registries. The risk factors were tested for significance using bivariate analysis. P-value <0.05 was considered statistically significant. A significant association was observed between TB and history of abortion (p=0,0032), unsuccessfully treated (p=0,0093) and TB/HIV coinfection (p<0,001). Associated risk factors such as HIV, and drugs, and being indigenous highlight the need to revise the treatment strategies with an inter-institutional approach.