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美国的获得性免疫缺陷综合征:首批1000例病例

Acquired immune deficiency syndrome in the United States: the first 1,000 cases.

作者信息

Jaffe H W, Bregman D J, Selik R M

出版信息

J Infect Dis. 1983 Aug;148(2):339-45. doi: 10.1093/infdis/148.2.339.

DOI:10.1093/infdis/148.2.339
PMID:6604115
Abstract

Between June 1981 and February 1983, the Centers for Disease Control (Atlanta) received reports of 1,000 patients living in the United States who met a surveillance definition for the acquired immune deficiency syndrome (AIDS). Seventy-three percent of these patients were diagnosed after January 1, 1982. The 1,000 patients included 284 with Kaposi's sarcoma (KS), 497 with Pneumocystis carinii pneumonia (PCP), 83 with KS and PCP, and 136 with opportunistic infections other than PCP. The overall mortality has been 39.2%. Cases have been reported from 32 states and the District of Columbia; New York, California, New Jersey, and Florida account for 82.7% of the reports. All but 61 of the patients could be classified into one or more of the following groups: homosexual or bisexual men, intravenous drug abusers, Haitian natives, or patients with hemophilia. Epidemiologic trends in AIDS cases are consistent with the gradual extension of an infectious agent into new populations.

摘要

1981年6月至1983年2月期间,美国疾病控制中心(亚特兰大)收到了1000名居住在美国的患者的报告,这些患者符合获得性免疫缺陷综合征(艾滋病)的监测定义。其中73%的患者在1982年1月1日之后被诊断出来。这1000名患者包括284例卡波西肉瘤(KS)患者、497例卡氏肺孢子虫肺炎(PCP)患者、83例同时患有KS和PCP的患者以及136例患有除PCP之外的机会性感染的患者。总体死亡率为39.2%。病例报告来自32个州和哥伦比亚特区;纽约、加利福尼亚、新泽西和佛罗里达州的报告占总数的82.7%。除61名患者外,所有患者都可归入以下一个或多个群体:同性恋或双性恋男性、静脉注射吸毒者、海地本地人或血友病患者。艾滋病病例的流行病学趋势与一种传染因子逐渐传播到新人群中相一致。

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