Literature DB >> 3134918

Evaluation of the WHO clinical case definition for AIDS in rural Zaire.

K M De Cock1, R Colebunders, H Francis, N Nzilambi, M Laga, R W Ryder, M Bondjobo, J B McCormick, P Piot.   

Abstract

The clinical case definition for AIDS proposed by WHO for use in Africa was evaluated against HIV antibody status in 72 patients in rural Zaire. Twenty-one (29%) of the patients were antibody-positive. For diagnosing anti-HIV seropositivity, the case definition had a sensitivity of 52%, a specificity of 78%, a positive predictive value of 50% and a negative predictive value of 80%. Calculation of the positive predictive value at different levels of prevalence of HIV infection suggests that the case definition operates at maximum reliability in selected high-risk groups. Modifications to the case definition should be evaluated to try and improve its sensitivity and positive predictive value.

Entities:  

Keywords:  Acquired Immunodeficiency Syndrome; Africa; Africa South Of The Sahara; Age Factors; Developing Countries; Diseases; Examinations And Diagnoses; French Speaking Africa; Hiv Infections; Middle Africa; Prevalence; Viral Diseases; Who; Zaire

Mesh:

Year:  1988        PMID: 3134918

Source DB:  PubMed          Journal:  AIDS        ISSN: 0269-9370            Impact factor:   4.177


  5 in total

1.  What use is a clinical case definition for AIDS in Africa?

Authors:  C F Gilks
Journal:  BMJ       Date:  1991-11-09

2.  AIDS surveillance in Africa.

Authors:  A Nicoll; J Killewo
Journal:  BMJ       Date:  1991-11-09

Review 3.  A systematic review of published literature describing factors associated with tuberculosis recurrence in people living with HIV in Africa.

Authors:  Yoshan Moodley; Kumeren Govender
Journal:  Afr Health Sci       Date:  2015-12       Impact factor: 0.927

Review 4.  Diagnostic accuracy of the WHO clinical staging system for defining eligibility for ART in sub-Saharan Africa: a systematic review and meta-analysis.

Authors:  Chigomezgo Munthali; Miriam Taegtmeyer; Paul G Garner; David G Lalloo; S Bertel Squire; Elizabeth L Corbett; Nathan Ford; Peter MacPherson
Journal:  J Int AIDS Soc       Date:  2014-06-12       Impact factor: 5.396

5.  A novel community health worker tool outperforms WHO clinical staging for assessment of antiretroviral therapy eligibility in a resource-limited setting.

Authors:  Peter Macpherson; David G Lalloo; Deus Thindwa; Emily L Webb; S Bertel Squire; Geoffrey A Chipungu; Nicola Desmond; Simon D Makombe; Miriam Taegtmeyer; Augustine T Choko; Elizabeth L Corbett
Journal:  J Acquir Immune Defic Syndr       Date:  2014-02-01       Impact factor: 3.731

  5 in total

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