Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Int J Tuberc Lung Dis. 2013 Feb;17(2):186-91. doi: 10.5588/ijtld.12.0530.
South Africa currently maintains separate surveillance systems for tuberculosis (TB) and human immunodeficiency virus (HIV). There are future plans for integration of these systems; however, the consistency of information across the existing systems has not previously been assessed.
To determine the completeness and concordance of data in the TB and HIV surveillance systems for TB-HIV co-infected patients.
In a retrospective cohort evaluation of the records of TB-HIV co-infected patients in the Eden District of the Western Cape, data were abstracted from paper-based and electronic TB and HIV surveillance sources. Concordance was measured using Fleiss' kappa coefficient.
Demographic variables had high completeness and concordance across the TB and HIV systems. Completeness and concordance for clinical variables was somewhat lower, particularly for TB variables in the HIV systems and HIV variables in the TB systems.
Varying levels of completeness and concordance of surveillance data for TB-HIV co-infected patients highlight challenges in the current TB and HIV surveillance systems. Future integration of TB and HIV programs in this region will need to support more accurate data collection at all levels.
南非目前为结核病（TB）和人类免疫缺陷病毒（HIV）分别设立了监测系统。未来有整合这些系统的计划，但尚未评估现有系统之间信息的一致性。
确定结核分枝杆菌-人类免疫缺陷病毒（HIV）合并感染患者的结核病和 HIV 监测系统中数据的完整性和一致性。
本研究回顾性评估了西开普省 Eden 地区结核分枝杆菌-人类免疫缺陷病毒（HIV）合并感染患者的记录，从纸质和电子结核病和 HIV 监测来源中提取数据。采用 Fleiss'kappa 系数来衡量一致性。
人口统计学变量在结核病和 HIV 系统中具有较高的完整性和一致性。临床变量的完整性和一致性稍低，尤其是在 HIV 系统中的结核病变量和结核病系统中的 HIV 变量。
结核分枝杆菌-人类免疫缺陷病毒（HIV）合并感染患者监测数据的完整性和一致性存在差异，突显了当前结核病和 HIV 监测系统中的挑战。该地区未来结核病和 HIV 项目的整合需要在各个层面支持更准确的数据收集。
