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M9490549.TXT
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1994-09-24
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Document 0549
DOCN M9490549
TI Recognition of AIDS by health personnel in rural south-Rwanda.
DT 9411
AU Harms G; Kleinfeldt V; Bugingo G; Butera JB; Kirsch T; Bienzle U;
Landesinstitut fur Tropenmedizin Berlin, Germany.
SO Trop Med Parasitol. 1994 Mar;45(1):36-8. Unique Identifier : AIDSLINE
MED/94345299
AB The ability of rural health personnel to recognise AIDS related symptoms
and signs according to the WHO clinical case definition (CCD) and its
modified Rwandan version was tested in 4141 clinically suspected cases
in South-Rwanda. The sensitivities of these CCDs for AIDS in adults were
33% (36%), the specificities 78% (76%), and the positive predictive
values (ppv) 46%. For AIDS in children the sensitivities of the CCDs
were 13% (16%), the specificities 94% (90%), and the ppv 44% (38%).
While the specificities did not differ from those found in studies
conducted by trained physicians, the low sensitivities and predictive
values demand improvement of the training of the health personnel to
diagnose AIDS related symptoms and signs, especially where laboratory
tests are not available.
DE Acquired Immunodeficiency Syndrome/*DIAGNOSIS/EPIDEMIOLOGY Adolescence
Adult Aged Aged, 80 and over AIDS Serodiagnosis/STATISTICS & NUMER
DATA Child Child, Preschool Female *Health Personnel/EDUCATION
Human HIV Infections/DIAGNOSIS/EPIDEMIOLOGY HIV Seroprevalence Infant
Male Middle Age Rural Health Rural Population Rwanda/EPIDEMIOLOGY
Sensitivity and Specificity World Health Organization JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).