A New Definition for AIDS Surveillance
Authors: James W. Buehler
Journal: Annals of Internal Medicine (1993)

Editorials1 March 1993A New Definition for AIDS SurveillanceJames W. Buehler, MD and John W. Ward, MDJames W. Buehler, MDCenters for Disease Control and Prevention, Atlanta, GA 30333.Search for more papers by this author and John W. Ward, MDCenters for Disease Control and Prevention, Atlanta, GA 30333.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-118-5-199303010-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In January 1993, the Centers for Disease Control and Prevention (CDC) expanded the surveillance definition for the acquired immunodeficiency syndrome (AIDS).For adults and adolescents with human immunodeficiency virus (HIV) infection, four new criteria have been added to the previous definition: a measure of immunosuppression (a CD4+ T-lymphocyte count <200/µL or CD4+ percentage <14) and three clinical conditions (pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer). The expanded surveillance definition more accurately represents persons with severe HIV-related immunosuppression and morbidity and should facilitate reporting by physicians. Counseling of individual patients should continue to focus on their clinical and immunologic status rather ...References1. Centers for Disease Control and Prevention. 1993 revised classification system for HIV infection and expanded surveillance definition for AIDS among adolescents and adults. MMWR. 1992; 41(RR-17) 1-19. Google Scholar2. National Institutes of Health. State-of-the-art conference on azidothymidine therapy for early HIV infection. Am J Med. 1990; 89:335-44. Google Scholar3. Centers for Disease Control and Prevention. Guidelines for prophylaxis against Pneumocystis carinii pneumonia for persons infected with human immunodeficiency virus. MMWR. 1992; 41(RR-4):1-11. Google Scholar4. Barnes PF, Bloch AB, Davidson PT, Snider DE Jr. Tuberculosis in patients with human immunodeficiency virus infection. N Engl J Med. 1991; 325:1882-4. Google Scholar5. Farizo KF, Buehler JW, Chamberland ME, Whyte BM, Froelicher ES, Hopkins SG, et al. Spectrum of disease in persons with human immunodeficiency virus infection in the United States. JAMA. 1992; 267:1798-805. Google Scholar6. Schafer A, Friedmann W, Mielke M, Schwartlander B, Koch MA. The increased frequency of cervical dysplasia-neoplasia in women infected with the human immunodeficiency virus is related to the degree of immunosuppression. Am J Obstet Gynecol. 1991; 164: 593-9. Google Scholar7. Buehler JW, Hanson DL, Chu SY. Reporting of HIV/AIDS deaths in women. Am J Public Health. 1992; 82:1495-9. Google Scholar8. Vermund SH, Kelley KF, Klein RS, Feingold AR, Schreiber K, Munk G, et al. High risk of human papillomavirus infection and cervical squamous intraepithelial lesions among women with symptomatic human immunodeficiency virus infection. Am J Obstet Gynecol. 1991; 165:392-400. Google Scholar9. Centers for Disease Control. Update: acquired immunodeficiency syndrome—United States, 1991. MMWR. 1992; 41:463-8. Google Scholar10. Centers for Disease Control and Prevention. Projections of the number of persons diagnosed with AIDS and the number of immunosuppressed HIV-infected persons—United States, 1992-1994. MMWR. 1992:41(RR-18) 1-29. Google Scholar Author, Article, and Disclosure InformationAffiliations: Centers for Disease Control and Prevention, Atlanta, GA 30333.Corresponding Author: James W. Buehler, MD, Division of HIV/AIDS, National Center for Infectious Diseases, MS-G29, Centers for Disease Control and Prevention, Atlanta, GA 30333. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByPathogenesis of Tuberculosis in Human Immunodeficiency Virus-Infected PeoplePathology of HIV-Associated Liver DiseaseImpact of Human Immunodeficiency Virus Infection in Pregnant Women on Variant-Specific Immunity to MalariaOCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS (UNIVERSAL PRECAUTIONS)HIV impact on acute morbidity and pelvic tumor control following radiotherapy for cervical cancerSexual health issues after lung transplantation: importance of cervical screeningValidation of four AIDS-case definitions in HIV-infected intravenous drug users in Barcelona, SpainThe impact of HIV infection on lactose absorptive capacityA Tuberculose dos Seropositivos é uma doença nova**Texto em parte apresentado no “XII Congresso de Pneumologia” (Porto, 10 a 13 de Novembro de 1996)Tuberculosis Among AIDS Patients in the United States, 1993Controlling HIV/AIDS in Ireland: The Implications for Health Policy of Some Epidemic ForecastsThe epidemiology of HIV/AIDSTuberculosisNocardiosis in HIV-positive patients: an autopsy study in West Africa 1 March 1993Volume 118, Issue 5Page: 390-392KeywordsAIDSCervical cancerClinical immunologyHIVHIV infectionsMorbidityPneumoniaPrevention, policy, and public healthPulmonary diseasesRacial and ethnic issues Issue Published: 1 March 1993 CopyrightCopyright © 1993 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...