title: High proportion of HIV late presenters at an academic tertiary care center in northern Germany confirms the results of several cohorts in Germany: time to put better HIV screening efforts on the national agenda?
abstract: 165 treatment-naive patients who first presented at the infectious disease clinic of the University Medical Center Hamburg-Eppendorf from 2009 to 2011 were retrospectively analyzed with emphasis on patients with late presentation (LP). In line with other recent German reports, there was a large proportion of 105 of the 165 treatment-naïve patients (63.6 %) who presented late. Old age, heterosexual transmission risk and migrant background were associated risk factors for late presentation. Thus, further intensified national efforts like the HIV in Europe initiative are needed to identify such patients at high risk for HIV infection.
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
authors.forename: Guido
authors.initials: G
authors.lastname: Schäfer
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
authors.forename: Benno
authors.initials: B
authors.lastname: Kreuels
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Schmiedel
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
authors.forename: Sandra
authors.initials: S
authors.lastname: Hertling
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Hüfner
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
authors.forename: Olaf
authors.initials: O
authors.lastname: Degen
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.|Viiv Healthcare, London, UK.
authors.forename: Jan
authors.initials: J
authors.lastname: van Lunzen
authors.affiliation: I. Department of Medicine, Infectious Diseases Unit, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany. j.schulze-zur-wiesch@uke.de.
authors.forename: Julian
authors.initials: J
authors.lastname: Schulze Zur Wiesch
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology* / Q000635:transmission; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D062606:Tertiary Care Centers; D055815:Young Adult
keywords: Cohort study; Epidemiology; Germany; HIV; Late presentation