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[1987年瑞士艾滋病病例定义修订的影响]

[Effects of the 1987 revision of the definition for an AIDS case in Switzerland].

作者信息

Gebhardt M, Paget J, Estermann J

机构信息

Bundesamt für Gesundheitswesen, Bern-Liebefeld.

出版信息

Soz Praventivmed. 1994;39(3):134-42. doi: 10.1007/BF01299657.

Abstract

AIDS cases diagnosed in Switzerland after the revision of 1987 and reported to the Swiss Federal Office of Public Health until 31.12.1992 were categorised according to whether they conformed to the diagnostic criteria valid before the revision (= "pre-87"-group) or only to the new criteria introduced with the revision (= "post-87"-group). Compared to the "pre-87"-group, the proportion of injecting drug users was higher, the proportion of homosexual men was lower, the patients were younger and Pneumocystis carinii pneumonia (PCP) and Kaposi-sarcoma were diagnosed less frequently in the "post-87"-group. The revision of the AIDS case-definition affected the proportion of Aids-diagnoses with PCP over time. It improved the surveillance of AIDS morbidity in Switzerland but its effects must be distinguished from true phenomena of the AIDS-epidemic.

摘要

1987年修订后在瑞士诊断出并截至1992年12月31日报告给瑞士联邦公共卫生局的艾滋病病例,根据其是否符合修订前有效的诊断标准(=“87年前”组)或仅符合修订后引入的新标准(=“87年后”组)进行分类。与“87年前”组相比,“87年后”组中注射吸毒者的比例更高,同性恋男性的比例更低,患者更年轻,卡氏肺孢子虫肺炎(PCP)和卡波西肉瘤的诊断频率更低。艾滋病病例定义的修订随着时间的推移影响了PCP艾滋病诊断的比例。它改善了瑞士艾滋病发病率的监测,但其影响必须与艾滋病流行的真实现象区分开来。

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