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9 a.m. – 7 p.m.
Phone: (843) 766-6635
Main Library
9 a.m. - 8 p.m.
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Folly Beach Library
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Phone: (843) 588-2001
John L. Dart Library
9 a.m. – 7 p.m.
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St. Paul's/Hollywood Library
9 a.m. - 8 p.m.
Phone: (843) 889-3300
Mt. Pleasant Library
9 a.m. – 8 p.m.
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Dorchester Road Library
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Edgar Allan Poe/Sullivan's Island Library
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John's Island Library
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Edisto Library
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Wando Mount Pleasant Library
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Phone: (843) 884-9741
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The high incidence of late presenters for HIV/AIDS infection in the Lodz province, Poland in the years 2009-2016: we are still far from the UNAIDS 90% target.
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- Author(s): Wójcik-Cichy, Kamila; Jabłonowska, Olga; Piekarska, Anna; Jabłonowska, Elżbieta
- Source:
AIDS Care. Dec2018, Vol. 30 Issue 12, p1538-1541. 4p. 3 Charts. - Source:
- Additional Information
- Subject Terms: DIAGNOSIS of HIV infections; HIV infection transmission; HIV infection epidemiology; AGE distribution; CONFIDENCE intervals; DIAGNOSIS; HETEROSEXUALS; HIV infections; HIV-positive persons; MEDICAL errors; MEDICAL referrals; MULTIVARIATE analysis; PHYSICIANS; INTRAVENOUS drug abusers; DISEASE incidence; RETROSPECTIVE studies; CD4 lymphocyte count; ODDS ratio
- Subject Terms:
- Abstract: The present study retrospectively analyses the prevalence of late diagnosis in patients with newly-diagnosed HIV infection in Lodz, Poland from January 2009 to December 2016, and assesses the predictive factors associated with late presenters. Late presentation is defined as a diagnosis of HIV with a CD4 count<350 cells/μL, or the occurrence of an AIDS- defining event, regardless of the CD4 cell count. Two hundred and fifty-nine (62.86%) patients were late presenters, 178 of whom (68.72%) were advanced late presenters (CD4 cell count below 200 cells/μL). Multivariate factors associated with late HIV presentation included referral from physician for HIV testing (OR: 3.95, 95% CI 2.42-6.46), older age (OR: 1.81, 95% CI: 1.38-2.38) and route of HIV transmission. Heterosexual patients (OR 1.98, 95% CI: 1.01-3.90), active drug users (OR: 3.49, 95% CI: 1.63-7.48) and patients who did not report the route of transmission (OR: 4.29, 95%: CI 1.45-12.62) were more likely to present late than MSM subjects. In conclusion, the majority of HIV-infected patients are still diagnosed late. There is a need for expanded testing not only in MSM group, in which HIV prevalence is the highest, but also in intravenous drug users, or among subjects who are heterosexual or from a higher age group. [ABSTRACT FROM AUTHOR]
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