TY - JOUR
T1 - Exhaustividad de la notificacion de los casos de sida en Cataluna
T2 - Un estudio basado en las solicitudes de determinaciones de linfocitos CD4 yen la prescripcion de antirretrovirales
AU - De Olalla Rizo, Patricia García
AU - Mayans, Martí Vall
AU - Mases, Montserrat Miret
AU - Guix, Roser Clos
AU - Barbarà, Jordi Casabona
AU - Caylà Buqueras, Joan A.
AU - Ribas, Josep
AU - Mallolas, Josep
AU - Rodríguez, José Luis
AU - Español, Teresa
AU - Monterde, Josep
AU - Grau, Santiago
AU - Buendía, Enric
AU - Corominas, Mercè
AU - Pujol, Ricardo
AU - Clotet, Bonaventura
AU - Alonso, Carmen
AU - Gallart, María Jesús
PY - 1998
Y1 - 1998
N2 - 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.
AB - 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.
KW - AIDS
KW - Antiretroviral therapy
KW - CD4 counts
KW - Surveillance
KW - Underreporting
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U2 - 10.1590/s1135-57271998000600003
DO - 10.1590/s1135-57271998000600003
M3 - Article
C2 - 10050600
AN - SCOPUS:0032196425
VL - 72
SP - 501
EP - 507
JO - Revista Espanola de Salud Publica
JF - Revista Espanola de Salud Publica
SN - 1135-5727
IS - 6
ER -