Exhaustividad de la notificacion de los casos de sida en Cataluna: Un estudio basado en las solicitudes de determinaciones de linfocitos CD4 yen la prescripcion de antirretrovirales

Translated title of the contribution: The degree to which all existing aids cases are officially reported in Catalunya: A study based on the requests for CD4 white blood cell counts and the prescribing of antitretroviral drugs

Patricia García De Olalla Rizo, Martí Vall Mayans, Montserrat Miret Mases, Roser Clos Guix, Jordi Casabona Barbarà, Joan A. Caylà Buqueras, Josep Ribas, Josep Mallolas, José Luis Rodríguez, Teresa Español, Josep Monterde, Santiago Grau, Enric Buendía, Mercè Corominas, Ricardo Pujol, Bonaventura Clotet, Carmen Alonso, María Jesús Gallart

Research output: Contribution to journalArticle

Abstract

Background: To ascertain the degree to which AIDS is officially reported in Catalunya. Method: The request for T CD4+ white blood cell counts and the prescribing of antiretroviral drugs in seven university hospitals in Catalunya from January 1, 1994 to June 31, 1994 were used as data-comparison sources. A case was considered to not have been reported when the clinical history showed a diagnosis of AIDS (according to the Europe 93 definition) and the case in question did not show up on the AIDS Registry for Catalunya. Results: Of the 1,370 cases studied, 50 unreported AIDS cases were found. In all, 98.6% of all cases were found to have been reported, for a 95% confidence interval (95% CI): 98.2-99.0. Most of the unreported cases were males (72%) averaging 37.3 years of age (HCA: 11.8), 52% of whom were injected drag users (IDU's), extrapulmonary tuberculosis being the disease most often diagnosed (16%), 81.4% having been found to have a T CD4+ white blood cell count of 200 WBC/mm3 or below. 92% of these cases were detected based on T CD4+ white blood cell counts. Conclusions: The degree of completeness found is considered to be adequate. It is recommended that the white blood cell count records being used for this type of studies.

Translated title of the contributionThe degree to which all existing aids cases are officially reported in Catalunya: A study based on the requests for CD4 white blood cell counts and the prescribing of antitretroviral drugs
Original languageSpanish
Pages (from-to)501-507
Number of pages7
JournalRevista Espanola de Salud Publica
Volume72
Issue number6
DOIs
StatePublished - 1998

Keywords

  • AIDS
  • Antiretroviral therapy
  • CD4 counts
  • Surveillance
  • Underreporting

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    De Olalla Rizo, P. G., Mayans, M. V., Mases, M. M., Guix, R. C., Barbarà, J. C., Caylà Buqueras, J. A., Ribas, J., Mallolas, J., Rodríguez, J. L., Español, T., Monterde, J., Grau, S., Buendía, E., Corominas, M., Pujol, R., Clotet, B., Alonso, C., & Gallart, M. J. (1998). Exhaustividad de la notificacion de los casos de sida en Cataluna: Un estudio basado en las solicitudes de determinaciones de linfocitos CD4 yen la prescripcion de antirretrovirales. Revista Espanola de Salud Publica, 72(6), 501-507. https://doi.org/10.1590/s1135-57271998000600003