To assess the impact of the 1994 expanded World Health Organization (WHO) AIDS case definition on AIDS surveillance in Côte d'Ivoire.
Prospective AIDS case surveillance.
From March 1994 through December 1996, passive AIDS case surveillance was conducted at the three university hospitals in Abidjan, and active AIDS case surveillance was conducted at the eight tuberculosis (TB) centers in Côte d'lvoire.
Standardized questionnaires were administered and blood samples for HIV serologic testing were collected from the patients evaluated.
The numbers of persons who met the modified 1985 WHO clinical AIDS case definition (Bangui definition) and the 1994 expanded WHO AIDS case definition were determined, and the clinical characteristics of these patients were assessed.
Of 8648 university hospital patients, 3658 (42.3%) met the clinical and/or the expanded case definition : 744 (20.3%) HIV-seropositive persons met only the expanded definition, 44 (1.2%) HIV-seropositive persons met only the clinical definition, 2334 (63.8%) HIV-seropositive persons met both definitions, and 536 (14.7%) HIV-seronegative persons met only the clinical definition.
Of 18 661 TB center patients, 9664 (51.8%) met the clinical and/or the expanded definition : 5685 (58.8%) HIV-seropositive persons met only the expanded definition, none of the HIV-seropositive persons met only the clinical definition (by definition), 2625 (27. (...)
Mots-clés Pascal : SIDA, Virose, Infection, Programme sanitaire, OMS, Tuberculose, Mycobactériose, Bactériose, Définition, Critère, Diagnostic, Surveillance sanitaire, Hôpital, Côte d'Ivoire, Afrique, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Sanitary program, WHO, Tuberculosis, Mycobacterial infection, Bacteriosis, Definition, Criterion, Diagnosis, Sanitary surveillance, Hospital, Ivory Coast, Africa, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0028140
Code Inist : 002B05C02D. Création : 17/04/1998.