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1994-10-25
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Document 2341
DOCN M94A2341
TI Inexpensive system for collection and analysis of STD cases in a
specialized clinic. Porto Alegre, Brazil.
DT 9412
AU Ramos MC; Barcellos NT; Poitevin N; Gorelik M; Ferrary MB; Dias HC;
Willers DC; Ferreira J; Patricio MA; Guedes LA; et al
SO Int Conf AIDS. 1994 Aug 7-12;10(1):326 (abstract no. PC0236). Unique
Identifier : AIDSLINE ICA10/94370234
AB OBJECTIVES: To demonstrate the usefulness of an inexpensive and user
friendly system for internal surveillance of STD cases in a specialized
clinic in a urban area. METHODS: Two code lists were created: (1) reason
for consultation and/or syndromic diagnosis (RC/SD), always present in
any kind of consultation and (2) professional interpretation or
clinically oriented diagnosis (PI). A specific etiologic diagnosis is
generally not available in the first consultation in Brazilian settings.
A collection instrument was developed, up to two different sets of RC/SD
and/or PI can be collected for a given patient. The physician has to
record the date of consultation, age and gender of the patient, type of
consultation (first or subsequent), codes of RC/SD and, when available,
PI. A data base and analysis program in EPIINFO 5.01 (WHO-CDC) Software
was developed, updated and analyzed monthly. RESULTS: From Jan to Dec
1993, 13,020 visits were recorded by 07 physicians, ranging from 268 to
1,799 per month. Out of these, 2,278 (17.5%) were female and 10,742
(82.5%) were male; 4,911 were first visit, 1,489 were repeaters
(patients previously registered with a new episode of STD), and 6,620
were follow up visits. Among the 6,400 first visits for the problem, the
more frequent RC/SD were: Urethral discharge (1638-25.6%), Vaginal
discharge (788-12.3%), Balanitis (749-11,7). Genital warts (475-7.4%)
and Genital ulcers (418-7.4%); 4994 (78.1%) had a PI available. The more
frequent were: Non-gono urethritis (787-11.5%), Gono urethritis
(735-12.3%), Balanitis (717-11.2%), HPV inf (544-8.5%). CONCLUSIONS:
Data collection and analysis is rarely done in Brazil, the opportunity
of evaluating and planning the needs of different services is lost,
misusing the already scarce resources. The data collection systems
previously used, based on personal description of the signs/diseases
leads to impossibility of data management and entry by non medical
personnel. We consider that this system is a contribution for local
operational research efforts and can be easily used in developing
countries, without the need of sophisticated equipment and expertise. We
recognize, nonetheless, that the data have a poor epidemiologic value
for STD surveillance purposes.
DE Brazil/EPIDEMIOLOGY Cost-Benefit Analysis Cross-Sectional Studies
Data Collection/*ECONOMICS Database Management Systems/ECONOMICS
*Developing Countries Human HIV Infections/ECONOMICS/*EPIDEMIOLOGY
Incidence Medical Records Systems, Computerized/*ECONOMICS *Population
Surveillance Sexually Transmitted Diseases/ECONOMICS/*EPIDEMIOLOGY
Urban Population/*STATISTICS & NUMER DATA MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).