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).