HIV-Indicator Condition Guided Testing in a Hospital Setting

Late diagnosis is still a major issue in HIV infection management, leading to important consequences for both patients and community. In this perspective, HIV screening targeted on some clinical conditions (HIV indicator conditions—HIVICs) emerged as a useful strategy, also involving patients not co...

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Published inLife (Basel, Switzerland) Vol. 13; no. 4; p. 1014
Main Authors Barbanotti, Diletta, Tincati, Camilla, Tavelli, Alessandro, Santoro, Andrea, Sala, Matteo, Bini, Teresa, De Bona, Anna, d’Arminio Monforte, Antonella, Marchetti, Giulia Carla
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.04.2023
MDPI
Subjects
Acquired immune deficiency syndrome
Age
AIDS
Central service department
Chemotherapy
Dementia
Diagnosis
Esophagus
Ethnicity
Gonorrhea
Health aspects
Hepatitis
HIV
HIV (Viruses)
HIV indicator conditions
HIV infection
HIV testing
Hospitals
Human immunodeficiency virus
Icebergs
Immune system
Immunology
Immunosuppression
Immunotherapy
Infection
Infections
Informed consent
late diagnosis
Males
Medical tests
Methods
Mononucleosis
Patients
Pneumonia
Regression analysis
Risk taking
Sarcoma
screening
Sexually transmitted diseases
STD
Syphilis
Tuberculosis
Virus diseases
White people
Western Europe
Italy
Europe
late diagnosis
AIDS
screening
HIV
HIV indicator conditions
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Summary:Late diagnosis is still a major issue in HIV infection management, leading to important consequences for both patients and community. In this perspective, HIV screening targeted on some clinical conditions (HIV indicator conditions—HIVICs) emerged as a useful strategy, also involving patients not considered at high behavioral risk. We organized an in-hospital HIVICs guided screening campaign named ICEBERG in Milan, Italy, between 2019 and 2021. Among the 520 subjects enrolled, mainly presenting with viral hepatitis or mononucleosis-like syndrome, 20 resulted HIV positive (3.8% prevalence). A significant proportion of them had multiple conditions and advanced immunosuppression, with 40% being AIDS-presenters. As adherence to the screening campaign was modest for non-ID specialists, educational interventions to raise clinicians’ sensitivity are urgently needed. HIV-ICs guided testing was confirmed as a useful tool, but a combined approach with other screening strategies seems to be essential for early HIV diagnosis.
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ISSN:2075-1729
2075-1729
DOI:10.3390/life13041014