Changing trends in HIV diagnosis in an inner city London teaching hospital 2007–2011

Summary In 2008, guidelines aimed at reducing undiagnosed HIV infection were published, recommending normalization of testing. Local initiatives were carried out in south-west London including an extensive primary care education programme. This study aimed to establish the impact of these initiative...

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Bibliographic Details
Published in:International journal of STD & AIDS 2013-04, Vol.24 (4), p.269-272
Main Authors: Wilkin-Crowe, H, Majewska, W, Lau, R, Webb, H, Pakianathan, M
Format: Article
Language:English
Subjects:
Adult
Aged
AIDS Serodiagnosis - statistics & numerical data
AIDS Serodiagnosis - utilization
AIDS/HIV
CD4 Lymphocyte Count
Early Diagnosis
Female
HIV Infections - diagnosis
HIV Infections - epidemiology
Hospitals, Teaching - trends
Human immunodeficiency virus
Humans
Incidence
London - epidemiology
Male
Patient Acceptance of Health Care - statistics & numerical data
Population Surveillance
Program Evaluation
Prospective Studies
Referral and Consultation - statistics & numerical data
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Summary:Summary In 2008, guidelines aimed at reducing undiagnosed HIV infection were published, recommending normalization of testing. Local initiatives were carried out in south-west London including an extensive primary care education programme. This study aimed to establish the impact of these initiatives on HIV diagnoses. Data on all new diagnoses referred to our centre were collected and analysed from patient records. A total of 394 patients were newly diagnosed with HIV from 2007 to 2011. Diagnosis in primary care and other non-sexual health (SH) settings increased by 184% during this period. There was an increase of 37% in the median CD4 count at diagnosis, taking the figure to 372 cells/mm3 in 2011. The proportion of patients presenting with a CD4 count of
ISSN:0956-4624
1758-1052
DOI:10.1177/0956462412472803