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).