Document Detail


Under-reporting of HIV infection among cohorts of TB patients in the WHO European Region, 2003-2004.
MedLine Citation:
PMID:  18302829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
SETTING: The World Health Organization (WHO) European Region, which includes 52 countries. OBJECTIVE: To assess an epidemiological data collection tool implemented in 2004 for recording human immunodeficiency virus (HIV) status among tuberculosis (TB) patients. DESIGN: Based on WHO estimates, the reported number of TB patients with HIV was compared with the number expected. The analysis included all forms of TB and was restricted to adults, wherever possible. The numbers of TB patients detected from HIV/acquired immune-deficiency syndrome (AIDS) programmes (NAPs) were also assessed. RESULTS: In 2003, 20 (38%) National TB Programmes (NTPs) reported 4602 (35%) HIV-infected TB cases of 13117 expected; in 2004, 23 (44%) NTPs reported 5902 (42%) cases of 13901 expected. In 2003, 47 (90%) NAPs reported 3575 (27%) TB cases as a new AIDS diagnosis, while in 2004, 40 (77%) NAPs reported 3901 (28%) TB cases. Those countries that did report, reported on average 60-65% of expected cases, irrespective of the kind of programme and the year. CONCLUSION: Most NTPs did not report TB cases with HIV infection. Overall, the number of cases reported in countries that reported data from either NTPs or NAPs was significantly lower than expected. Improved surveillance requires concerted efforts from both NTPs and NAPs.
Authors:
J N Scholten; S J de Vlas; R Zaleskis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease     Volume:  12     ISSN:  1027-3719     ISO Abbreviation:  Int. J. Tuberc. Lung Dis.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-27     Completed Date:  2008-06-03     Revised Date:  2008-08-31    
Medline Journal Info:
Nlm Unique ID:  9706389     Medline TA:  Int J Tuberc Lung Dis     Country:  France    
Other Details:
Languages:  eng     Pagination:  85-91     Citation Subset:  IM    
Affiliation:
Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. scholtenj@kncvtbc.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Data Collection / standards
Disease Notification / standards*,  statistics & numerical data
Epidemiologic Studies
Europe / epidemiology
HIV Infections / complications,  epidemiology*
Humans
Linear Models
Middle Aged
National Health Programs / statistics & numerical data
Population Surveillance / methods
Tuberculosis / complications*,  epidemiology
World Health Organization
Comments/Corrections
Erratum In:
Int J Tuberc Lung Dis. 2008 Aug;12(8):984

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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