Is early HIV infection diagnosis at a reference center a reality in the state of Ceara?

Rev Soc Bras Med Trop. 2018 Jul-Aug;51(4):518-522. doi: 10.1590/0037-8682-0393-2017.

Abstract

Introduction: Early diagnosis of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) can decrease transmission and significantly affect morbidity and mortality; however, Brazil still confronts the reality of late HIV diagnosis.

Methods: Medical records of 284 HIV-positive patients were reviewed in this cross-sectional study.

Results: Of all patients, 28% were diagnosed in the context of health assessments, whereas 27% were symptomatic at diagnosis. Early HIV infection (Group 1) was diagnosed in 60.2% of participants. They were younger than those with late diagnosis (Group 2) (p = 0.002).

Conclusions: These findings highlight the need for strategies to increase HIV testing in asymptomatic individuals and older patients.

MeSH terms

  • Adult
  • Brazil
  • Cross-Sectional Studies
  • Early Diagnosis*
  • Female
  • HIV Infections / diagnosis*
  • Humans
  • Male
  • Referral and Consultation / standards*
  • Referral and Consultation / statistics & numerical data