Assessment of Death Associated Factors in Patient with Tuberculosis in Abadan During 2009-2013

One of the Millennium Development Goals is 50% reductions in tuberculosis (TB) mortality rates by 2015, compared to 1990. This study was aimed to determine the factors associated with mortality in patients with tuberculosis in the city of Abadan during 20092013. The present cross-sectional survey studied all of the registered tuberculosis cases in Abadan during 2009 to 2013. The patients’ information were provided through tuberculosis registration software, together with patients’ records in health centers of Abadan. Among of the total 367 identified TB patients, 36 (%9.8) patients have been passed away. The mortality relative risk of patients with early treatment 3+ sputum smear test was 12.8 increased compared to the patients with 1+ sputum smear test. Furthermore, the risk of death in group 2 of treatment (including relapses, treatment failures and the absence of treatment) were significantly greater (2.87 times) than the new treated patients (group 1 of treatment). The mortality rate of TB patients is affected by some factors like treatment group (previous treatment history) and the result of sputum smear test at the beginning of treatment. So, the health care system should be more sensitive to identify and treat TB patients at the proper time and in accordance with the standard protocol, in order to reduce treatment failures, relapses, and most importantly resistance to treatment of the patients.