Late diagnosis of HIV infection at two academic medical centers: 1994-2004

Over the last decade, there has been increased attention to the role of earlier HIV testing in the United States. Our objective was to determine if this has translated into changes in the proportion of inpatients with advanced disease at the time of initial HIV diagnosis. We identified inpatients di...

Full description

Saved in:
Bibliographic Details
Published in:AIDS care 2008-09, Vol.20 (8), p.977-983
Main Authors: Jean-Jacques, M., Walensky, R.P., Aaronson, W.H., Chang, Y., Freedberg, K.A.
Format: Article
Language:English
Subjects:
Academic Medical Centers
Acquired immune deficiency syndrome
Adult
Advanced stage
AIDS
AIDS Serodiagnosis - methods
AIDS Serodiagnosis - standards
Biological and medical sciences
Boston
CD4 Lymphocyte Count
Diagnosis
Epidemiology
Female
Health
HIV
HIV Infections - diagnosis
HIV infections/epidemiology
HIV infections/testing
Human immunodeficiency virus
Human viral diseases
Humans
Infections
Infectious diseases
Longitudinal studies
Male
Medical diagnosis
Medical sciences
Middle Aged
Statistics as Topic
Testing
Time Factors
U.S.A
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Over the last decade, there has been increased attention to the role of earlier HIV testing in the United States. Our objective was to determine if this has translated into changes in the proportion of inpatients with advanced disease at the time of initial HIV diagnosis. We identified inpatients discharged with a new diagnosis of HIV infection or AIDS between 1994 and 2004 at two academic medical centers. We examined trends in initial CD4 count at diagnosis over three time periods: 1994-1996, 1997-2000 and 2001-2004. Between 1994 and 2004, 235 inpatients were newly diagnosed with HIV infection or AIDS in the two centers. For the 217 patients with available CD4 count data, the median initial CD4 count was 41/µl (interquartile range 19-138/µl). Of the 217 patients, 184(85%) had CD4 ≤200/µl and 119/217 (55%) had CD4 ≤50/µl. There were no significant differences in median CD4 count by time period. A large majority of inpatients with newly diagnosed HIV infection at two academic medical centers between 1994 and 2004 had signs of advanced immunodeficiency. Over this recent 11-year period there was no evidence that inpatients with a new HIV diagnosis were identified at earlier stages of disease.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120701767257