MMWR Morb Mortal Wkly Rep. 1996 Jan 19;45(2):38-41.
Because immunosuppression induced by human immunodeficiency virus (HIV) infection increases the likelihood that latent tuberculosis (TB) infection will become active in HIV-infected persons (1,2), in 1987, extrapulmonary or disseminated TB was added to the acquired immunodeficiency syndrome (AIDS) surveillance case definition (3), and in 1993, pulmonary TB in HIV-infected persons was added to the case definition (4). In Florida and other areas (5), AIDS surveillance activities include assessment of the completeness and validity of reported cases based on confidential record linkages with the TB registry and other disease registries. In December 1993, the Florida Department of Health and Rehabilitative Services (HRS) matched cases from the AIDS and TB registries to verify documented TB data, include more complete TB data on the AIDS registry, and identify cases from the AIDS registry with unreported TB. This report summarizes an analysis of this match, which underscored the need for collaboration and crosstraining of surveillance staff in AIDS and TB reporting.
由于人类免疫缺陷病毒(HIV)感染所致的免疫抑制会增加潜伏性结核(TB)感染在HIV感染者中转为活动性感染的可能性(1,2),1987年,肺外或播散性结核被纳入获得性免疫缺陷综合征(AIDS)监测病例定义(3),1993年,HIV感染者中的肺结核也被纳入病例定义(4)。在佛罗里达州和其他地区(5),AIDS监测活动包括基于与结核病登记处和其他疾病登记处的保密记录关联,评估报告病例的完整性和准确性。1993年12月,佛罗里达州卫生与康复服务部(HRS)对艾滋病登记处和结核病登记处的病例进行匹配,以核实记录在案的结核病数据,在艾滋病登记处纳入更完整的结核病数据,并识别艾滋病登记处中未报告结核病的病例。本报告总结了对此次匹配的分析,该分析强调了AIDS和TB报告监测人员开展协作和交叉培训的必要性。