title: Changing trends in HIV diagnosis in an inner city London teaching hospital 2007-2011.
abstract: 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 <200cells/mm³ decreased by 24%. The evidence suggests that these local initiatives were successful in increasing HIV diagnoses outside SH settings, particularly in very late presenters.
authors: St George's University of London, Student Centre, Cranmer Terrace, London SW170RE, UK. hannah_marie33@hotmail.com
authors: H
authors: H
authors: Wilkin-Crowe
authors: W
authors: W
authors: Majewska
authors: R
authors: R
authors: Lau
authors: H
authors: H
authors: Webb
authors: M
authors: M
authors: Pakianathan
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000328:Adult; D000368:Aged; D018791:CD4 Lymphocyte Count; D042241:Early Diagnosis; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D006784:Hospitals, Teaching / Q000639:trends*; D006801:Humans; D015994:Incidence; D008131:London / Q000453:epidemiology; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011159:Population Surveillance; D015397:Program Evaluation; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data
keywords: AIDS; HIV; HIV epidemiology; HIV testing; diagnosis; guidelines; late diagnosis; primary care; screening