Details:

Personal Author:
Selik, Richard M. ; Mokotoff, Eve D. ; Branson, Bernard M. ; Owen, Michele ; Whitmore, Suzanne ; ... More +
Selik, Richard M. ; Mokotoff, Eve D. ; Branson, Bernard M. ; Owen, Michele ; Whitmore, Suzanne ; Hall, H. Irene ; Less -
Corporate Authors:
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (U.S.). Division of STD Prevention. ; Council of State and Territorial Epidemiologists. ;
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (U.S.). Division of STD Prevention. ; Council of State and Territorial Epidemiologists. ; Less -
Description:
Following extensive consultation and peer review, CDC and the Council of State and Territorial Epidemiologists have revised and combined the surveillance case definitions for human immunodeficiency virus (HIV) infection into a single case definition for persons of all ages (i.e., adults and adolescents aged ≥13 years and children aged <13 years). The revisions were made to address multiple issues, the most important of which was the need to adapt to recent changes in diagnostic criteria. Laboratory criteria for defining a confirmed case now accommodate new multitest algorithms, including criteria for differentiating between HIV-1 and HIV-2 infection and for recognizing early HIV infection. A confirmed case can be classified in one of five HIV infection stages (0, 1, 2, 3, or unknown); early infection, recognized by a negative HIV test within 6 months of HIV diagnosis, is classified as stage 0, and acquired immunodeficiency syndrome (AIDS) is classified as stage 3. Criteria for stage 3 have been simplified by eliminating the need to differentiate between definitive and presumptive diagnoses of opportunistic illnesses. Clinical (nonlaboratory) criteria for defining a case for surveillance purposes have been made more practical by eliminating the requirement for information about laboratory tests. The surveillance case definition is intended primarily for monitoring the HIV infection burden and planning for prevention and care on a population level, not as a basis for clinical decisions for individual patients. CDC and the Council of State and Territorial Epidemiologists recommend that all states and territories conduct case surveillance of HIV infection using this revised surveillance case definition. PMID: 24717910
Subject:
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Adolescent
Adult
Case Definition
CD4-Positive T-Lymphocytes
Child
Child, Preschool
DNA, Viral/analysis
HIV Antibodies/analysis
HIV Infections/classification
HIV Infections/diagnosis
HIV Infections/epidemiology
Humans
Infant
Population Surveillance/methods
RNA, Viral/analysis

Source:
MMWR Recomm Rep. 2014 Apr 11;63(RR-03):1-10.
Pubmed ID:
24717910
Document Type:
Journal Issue ;
Genre:
Guideline ;
Place as Subject:
United States ;
Collection(s):
Guidelines and Recommendations
Main Document Checksum:
[+]
urn:sha256:fd9a28dad53ecd69c02793f7a5f9152137c186beabb067a8aefb410ea73f562b
File Type:

Supporting Files

• No Additional Files

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