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The African AIDS case definition and HIV serology in medical in-patients at Komfo Anokye Teaching Hospital, Kumasi, Ghana.


West Afr J Med. 1994 Apr-Jun;13(2):98-101. Unique Identifier : AIDSLINE

In 914 consecutive medical admissions to Komfo Anokye Teaching Hospital, the prevalence of infection with Human Immunodeficiency Virus type I (HIV-I) and Human Immunodeficiency Virus type 2 (HIV-2) was 12.6%. The prevalence in females was twice that found in males. The infection rate was maximum in the age group 25-29 years for females (45%) and 30-34 years for males (29%). There were 7 cases infected with HIV-2 alone, 55 cases infected with HIV-I alone and 53 cases with dual infection. The cases with HIV-2 infection tended to be older than those with HIV-I infection. For detecting HIV seropositivity in our patients the World Health Organization recommended case definition for AIDS in Africa gave a sensitivity of 32%, a specificity of 93% and a positive predictive value of 42%. The case definition gave the highest specificity and positive predictive values when cases of tuberculosis were not included in the analysis.

Adolescence Adult Aged Comorbidity Female Ghana/EPIDEMIOLOGY *Hospitals, Teaching Human HIV Seropositivity/BLOOD/*EPIDEMIOLOGY/VIROLOGY *HIV Seroprevalence *HIV-1 *HIV-2 *Inpatients Male Middle Age Patient Admission *Population Surveillance Sensitivity and Specificity Sex Factors World Health Organization JOURNAL ARTICLE


Information in this article was accurate in April 30, 1995. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.