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  1. The impact of the 1993 AIDS case definition on the completeness and timeliness of AIDS surveillance.

    Article - En anglais

    Objective 

    To assess the impact of the 1993 change in the AIDS case definition on the completeness and timeframe of AIDS case reporting in San Francisco.

    Design 

    Retrospective review of records : billing records, list of selected diagnostic codes, radiology logs, ophthalmology clinic records, and patient registries at a selection of hospitals, clinics, and physician offices.

    Setting 

    Hospitals, public/community health clinics, and physician offices.

    Main outcome measures 

    The completeness of reporting and the median reporting delay was calculated for hospitals, clinics, and physician offices.

    Results 

    Reporting was 97% complete.

    Reporting from physician offices was less complete (75%) than from other facilities.

    The median reporting delay was 1 month and was shorter for persons who met the 1993 AIDS case definition (1 month) than for persons who met the 1987 case definition (3 months).

    Conclusions 

    AIDS case reporting in San Francisco is highly complete but less so for persons diagnosed at physician offices.

    The 1993 AIDS case definition has resulted in more timely reporting.

    Health departments should consider efforts to improve reporting from private physician offices and should evaluate the use of laboratory-initiated CD4 reporting.

    Mots-clés Pascal : SIDA, Virose, Infection, Définition, Complétude, Fiabilité, Enregistrement, Délai, Surveillance, Californie, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Méthode, Immunopathologie, Immunodéficit

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Definition, Completeness, Reliability, Recording, Time lag, Surveillance, California, United States, North America, America, Epidemiology, Method, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0321876

    Code Inist : 002B05C02D. Création : 16/11/1999.