Correa Mariette, Gisselquist David
1016, Muddo, PO Carona, Bardez, Goa 403523, India.
Int J STD AIDS. 2006 Nov;17(11):731-5. doi: 10.1258/095646206778691194.
India's AIDS case surveillance system attributes 86% of HIV infections to sexual risks, 2.4% to injection drug use, 2.0% to blood transfusions, 3.6% to perinatal transmission, and 6.0% to others or not specified. To assess the reliability of this information, we examined the process of AIDS case surveillance in four high HIV-prevalence districts in southern India. We reviewed forms and interviewed doctors, counsellors, officials of State AIDS Control Societies, and a convenience sample of people living with HIV/AIDS. Current surveillance practices are not sensitive to parenteral exposures; forms have no space to report blood exposures other than transfusions and injections, and counsellors often ignore parenteral risks. The system does not distinguish high from lower risk sexual behaviours; all cases with sexual risks are reported in one category. We propose changes in forms and practices to improve the reliability and usefulness of information on risks from AIDS case reporting.
印度的艾滋病病例监测系统将86%的艾滋病毒感染归因于性风险，2.4%归因于注射吸毒，2.0%归因于输血，3.6%归因于围产期传播，6.0%归因于其他或未明确说明的原因。为评估该信息的可靠性，我们调查了印度南部四个艾滋病毒高流行地区的艾滋病病例监测过程。我们查阅了表格，并采访了医生、咨询师、邦艾滋病控制协会官员以及部分艾滋病病毒感染者/艾滋病患者。当前的监测做法对非肠道暴露不敏感；表格中除输血和注射外没有空间报告血液暴露情况，而且咨询师常常忽视非肠道风险。该系统没有区分高风险和低风险性行为；所有有性风险的病例都归为一类。我们建议对表格和做法进行改进，以提高艾滋病病例报告中风险信息的可靠性和实用性。
