The proportion of cases of AIDS diagnosed in outpatients.

The proportion of cases of AIDS diagnosed in outpatients.
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门诊诊断出艾滋病病例的比例。

DOI:
10.1001/jama.1986.03380070069013
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发表时间:
1986
期刊:
JAMA
影响因子:
--
通讯作者:
D. Echenberg
D. Echenberg
中科院分区:
--
文献类型:
--
作者:
K. Rauch;G. Rutherford;D. Echenberg

文献摘要

被引文献

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致编辑:在旧金山,98%的获得性免疫缺陷综合症(艾滋病)病例是通过对医院、诊所和医生进行主动和被动监测向公共卫生部报告的,2%是通过搜索死亡证明报告的。被动监测系统约占报告病例的45%,主要依靠以医院为基础的感染控制从业者报告在医院诊断出疾病的患者。由于感染控制从业者通常最熟悉住院患者,他们可能不知道在医院门诊部诊断出的艾滋病患者,因此可能不会报告。在艾滋病报告不像旧金山那样完整的地区,这些病例可能是潜在漏报的一个来源。为了确定最初在门诊确诊的艾滋病病例的比例,我们回顾了连续200例报告给公共卫生部的艾滋病病例
To the Editor.— In San Francisco, 98% of all cases of acquired immunodeficiency syndrome (AIDS) are reported to the Department of Public Health through a combination of active and passive surveillance of hospitals, clinics, and physicians, and 2% are reported through searches of death certificates. The passive surveillance system, which accounts for about 45% of reported cases, depends primarily on hospital-based infection control practitioners to report patients whose illness is diagnosed in hospitals. Since infection control practitioners are, typically, most familiar with inpatients, AIDS patients diagnosed in hospital outpatient departments may not be known to them and consequently may not be reported. In areas where there is less complete reporting of AIDS than in San Francisco, these cases may be a source of potential underreporting. To determine what proportion of AIDS cases is initially diagnosed in outpatients, we reviewed 200 consecutive AIDS cases reported to the Department of Public Health