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Document 2293
DOCN M94A2293
TI From disease classification to surveillance: benefit from naming HIV
tuberculosis AIDS?
DT 9412
AU Laporte A; Lot F; Pinget R; Pillonel J; Triol I; National Network of
Public Health, St Maurice, France.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):337 (abstract no. PC0283). Unique
Identifier : AIDSLINE ICA10/94370282
AB OBJECTIVES: 1) To analyse characteristics of patients with Pulmonary
Tuberculosis (PT) as AIDS indicator disease and to compare them to
patients with Extra-Pulmonary Tuberculosis (EPT) and patients without
tuberculosis (WT). 2). To measure crude impact of including PT in the
1993 AIDS case definition and to compare it to previous estimation.
METHOD: 3,722 adult AIDS cases diagnosed in 1993 and reported by
december 1993 are analysed according to indicator disease, CD4, sex, age
at diagnosis, transmission category, geographic origin and area of
residence. Analysis will be done by univariate and multivariate analysis
(BMDP software). RESULTS: PT AIDS patients represented 4% of AIDS cases
diagnosed in 1993. Previous estimation of crude impact of the revision
was an increase of about 1%. In univariate analysis: PT as EPT is linked
with african origin, female sex, IVD users and heterosexual contact
transmission categories, younger age and area of residence with high PT
incidence. PT and EPT patients have quite similar characteristics even
if frequency of IVD users, women and non african patients is a little
more important among PTp. Results of the multivariate analysis will be
available later. TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSION: Adding
this new criteria increased the number of AIDS cases more than expected
and permitted to report more women, IVDUs and heterosexual originating
from Africa as AIDS cases. TBp and ETp have quite similar
characteristics, nevertheless upper frequency of heterosexual
originating from Africa among ETp could reflect delayed acces to
clinical care. Characteristics of PTp entering AIDS willn't help us as
much to define prevention program as EPTp characteristics were none.
More, will the fact of naming PT AIDS help seropositive patients to
accept their condition and better care for themselves?
DE Acquired Immunodeficiency Syndrome/CLASSIFICATION/*EPIDEMIOLOGY/
TRANSMISSION Adult AIDS-Related Opportunistic
Infections/CLASSIFICATION/ *EPIDEMIOLOGY/TRANSMISSION Female
France/EPIDEMIOLOGY Human HIV
Infections/CLASSIFICATION/*EPIDEMIOLOGY/TRANSMISSION HIV
Seroprevalence/TRENDS Male Middle Age *Population Surveillance Risk
Factors Tuberculosis/CLASSIFICATION/*EPIDEMIOLOGY/TRANSMISSION
Tuberculosis, Pulmonary/CLASSIFICATION/*EPIDEMIOLOGY/TRANSMISSION
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).