Document 0226 DOCN M9590226 TI Pattern of diagnosis of AIDS defining illnesses, 1990-1993. National HIV Surveillance Committee. DT 9509 AU Ree H; McDonald A; AIDS Medical Unit, Brisbane. SO Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:300 (unnumbered poster). Unique Identifier : AIDSLINE ASHM6/95291873 AB OBJECTIVE: To describe the pattern of diagnosis of AIDS defining illnesses among cases of AIDS notified to the National AIDS Registry as having been diagnosed during the interval 1990 - 1993. METHODS: Cases of AIDS were notified to the National AIDS Registry through State and Territory health authorities. Information sought on each AIDS case included the date of AIDS diagnosis, CD4+ count and the AIDS defining illnesses, separated into definitive or presumptive method of diagnosis. RESULTS: Of 2885 cases of AIDS diagnosed in 1990 - 1993, Pneumocystis carinii pneumonia (PCP) was the most frequent AIDS defining illness (34%). The annual proportion of diagnoses of PCP declined from 38% in 1990 to 27% in 1993. Overall, the proportion of presumptive diagnoses of selected AIDS defining illnesses increased from 25% in 1990 to 41% in 1993. Presumptive diagnoses of PCP increased from 19% in 1990 to 38% in 1993. Both presumptive and definitive diagnoses of PCP and oesophageal candidiasis had a mean CD4+ count at AIDS diagnosis of less than 100/microliter throughout the interval 1990 - 1993, whereas both presumptive and definitive diagnoses of Kaposi's sarcoma had a CD4+ count of 100-150/microliter. DISCUSSION: Although the proportion of AIDS cases with a presumptive diagnosis of specific AIDS defining illnesses increased between 1990 and 1993, immune status of cases with a presumptive diagnosis was similar to that of cases with a definitive diagnosis. DE Acquired Immunodeficiency Syndrome/DIAGNOSIS/*EPIDEMIOLOGY AIDS-Related Opportunistic Infections/DIAGNOSIS/*EPIDEMIOLOGY Candidiasis/DIAGNOSIS/EPIDEMIOLOGY CD4 Lymphocyte Count Disease Notification Esophagitis/DIAGNOSIS/EPIDEMIOLOGY Human Pneumonia, Pneumocystis carinii/DIAGNOSIS/EPIDEMIOLOGY *Population Surveillance Registries Sarcoma, Kaposi's/DIAGNOSIS/EPIDEMIOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).