Clinical Study

Inaccuracy of Death Certificate Diagnosis of Tuberculosis and Potential Underdiagnosis of TB in a Region of High HIV Prevalence

Table 1

Clinical and demographic characteristics.

Total number of TB deaths

Sex, female (%)144 (36%)
Sex, male (%)122 (30%)
Sex not documented on death certificate137 (34%)
Average age at death, years (standard deviation)36 (14)
Pulmonary TB (%)227 (56%)
EPTB (%)118 (29%)
 Miliary/disseminated 30 (7%)
 Meningitis 59 (15%)
 Peritonitis20 (5%)
 Spine 5 (1.2%)
 Lymphadenitis 3 (0.7%)
 Pericardium 1 (0.2%)
TB source unknown58 (14%)
Documented HIV positive*22 (5.4%)
Presumed HIV positive**55 (13.6%)
HIV status unknown326 (81%)

*Documented HIV positive via CD4 or HIV viral load records; **Presumed HIV positive due to death certificate diagnosis of HIV, retroviral disease (RVD), or AIDS-defining opportunistic infection.