Is Expanded HIV Testing Associated with Earlier HIV Diagnosis? Results from an HIV Clinic in Guatemala City

Alisha L. Liggett, Narda Medina, Blanca Samayoa, Danicela Mercado, Mirna Castillo, Erwin Argueta, Miguel Anderson, Matthew R. Anderson, Eduardo Arathoon

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Most patients in Guatemala are diagnosed with advanced HIV disease. Patients that present late in the disease process may miss the morbidity and mortality benefits associated with early treatment and may unknowingly spread HIV to others. Research Questions: We examined trends in HIV detection and levels of immunosuppression at diagnosis from 2005 -2012 to determine if expanded HIV testing was associated with earlier detection of HIV. Setting: This study was conducted at the Clínica Familiar Luis Ángel García (CFLAG), a major HIV center associated with one of Guatemala's two national hospitals. HIV testing expanded rapidly after 2007 due to grants from the Global Fund which allowed for routine prenatal testing. Methods: This study examined existing hospital and clinic databases from to evaluate results from HIV tests performed, and baseline CD4 cells/mm3 on all patients newly diagnosed with HIV infection from 2005 to 2012. Results: We found a decline in the number of HIV positive tests over the study period despite an increase in the total number of tests performed. Sixty-two percent of HIV infected individuals had AIDS at diagnosis. We observed a decrease in median CD4 cells/mm3 among the prenatal testees and no change in non-prenatal testees. Discussion: Expanded HIV counseling and testing services in our clinic did not result in earlier HIV diagnosis.

Original languageEnglish (US)
Pages (from-to)201-204
Number of pages4
JournalJournal of the International Association of Providers of AIDS Care
Volume15
Issue number3
DOIs
StatePublished - 2013

Fingerprint

Guatemala
Early Diagnosis
HIV
Organized Financing
Immunosuppression
HIV Infections
Counseling

Keywords

  • AIDS
  • CFLAG
  • HIV
  • immunosuppression
  • median CD4

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

Cite this

Is Expanded HIV Testing Associated with Earlier HIV Diagnosis? Results from an HIV Clinic in Guatemala City. / Liggett, Alisha L.; Medina, Narda; Samayoa, Blanca; Mercado, Danicela; Castillo, Mirna; Argueta, Erwin; Anderson, Miguel; Anderson, Matthew R.; Arathoon, Eduardo.

In: Journal of the International Association of Providers of AIDS Care, Vol. 15, No. 3, 2013, p. 201-204.

Research output: Contribution to journalArticle

Liggett, Alisha L. ; Medina, Narda ; Samayoa, Blanca ; Mercado, Danicela ; Castillo, Mirna ; Argueta, Erwin ; Anderson, Miguel ; Anderson, Matthew R. ; Arathoon, Eduardo. / Is Expanded HIV Testing Associated with Earlier HIV Diagnosis? Results from an HIV Clinic in Guatemala City. In: Journal of the International Association of Providers of AIDS Care. 2013 ; Vol. 15, No. 3. pp. 201-204.
@article{73bde7534a1c4c6eb4c2265a7fc6723e,
title = "Is Expanded HIV Testing Associated with Earlier HIV Diagnosis? Results from an HIV Clinic in Guatemala City",
abstract = "Background: Most patients in Guatemala are diagnosed with advanced HIV disease. Patients that present late in the disease process may miss the morbidity and mortality benefits associated with early treatment and may unknowingly spread HIV to others. Research Questions: We examined trends in HIV detection and levels of immunosuppression at diagnosis from 2005 -2012 to determine if expanded HIV testing was associated with earlier detection of HIV. Setting: This study was conducted at the Cl{\'i}nica Familiar Luis {\'A}ngel Garc{\'i}a (CFLAG), a major HIV center associated with one of Guatemala's two national hospitals. HIV testing expanded rapidly after 2007 due to grants from the Global Fund which allowed for routine prenatal testing. Methods: This study examined existing hospital and clinic databases from to evaluate results from HIV tests performed, and baseline CD4 cells/mm3 on all patients newly diagnosed with HIV infection from 2005 to 2012. Results: We found a decline in the number of HIV positive tests over the study period despite an increase in the total number of tests performed. Sixty-two percent of HIV infected individuals had AIDS at diagnosis. We observed a decrease in median CD4 cells/mm3 among the prenatal testees and no change in non-prenatal testees. Discussion: Expanded HIV counseling and testing services in our clinic did not result in earlier HIV diagnosis.",
keywords = "AIDS, CFLAG, HIV, immunosuppression, median CD4",
author = "Liggett, {Alisha L.} and Narda Medina and Blanca Samayoa and Danicela Mercado and Mirna Castillo and Erwin Argueta and Miguel Anderson and Anderson, {Matthew R.} and Eduardo Arathoon",
year = "2013",
doi = "10.1177/2325957416640362",
language = "English (US)",
volume = "15",
pages = "201--204",
journal = "Journal of the International Association of Providers of AIDS Care",
issn = "2325-9574",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Is Expanded HIV Testing Associated with Earlier HIV Diagnosis? Results from an HIV Clinic in Guatemala City

AU - Liggett, Alisha L.

AU - Medina, Narda

AU - Samayoa, Blanca

AU - Mercado, Danicela

AU - Castillo, Mirna

AU - Argueta, Erwin

AU - Anderson, Miguel

AU - Anderson, Matthew R.

AU - Arathoon, Eduardo

PY - 2013

Y1 - 2013

N2 - Background: Most patients in Guatemala are diagnosed with advanced HIV disease. Patients that present late in the disease process may miss the morbidity and mortality benefits associated with early treatment and may unknowingly spread HIV to others. Research Questions: We examined trends in HIV detection and levels of immunosuppression at diagnosis from 2005 -2012 to determine if expanded HIV testing was associated with earlier detection of HIV. Setting: This study was conducted at the Clínica Familiar Luis Ángel García (CFLAG), a major HIV center associated with one of Guatemala's two national hospitals. HIV testing expanded rapidly after 2007 due to grants from the Global Fund which allowed for routine prenatal testing. Methods: This study examined existing hospital and clinic databases from to evaluate results from HIV tests performed, and baseline CD4 cells/mm3 on all patients newly diagnosed with HIV infection from 2005 to 2012. Results: We found a decline in the number of HIV positive tests over the study period despite an increase in the total number of tests performed. Sixty-two percent of HIV infected individuals had AIDS at diagnosis. We observed a decrease in median CD4 cells/mm3 among the prenatal testees and no change in non-prenatal testees. Discussion: Expanded HIV counseling and testing services in our clinic did not result in earlier HIV diagnosis.

AB - Background: Most patients in Guatemala are diagnosed with advanced HIV disease. Patients that present late in the disease process may miss the morbidity and mortality benefits associated with early treatment and may unknowingly spread HIV to others. Research Questions: We examined trends in HIV detection and levels of immunosuppression at diagnosis from 2005 -2012 to determine if expanded HIV testing was associated with earlier detection of HIV. Setting: This study was conducted at the Clínica Familiar Luis Ángel García (CFLAG), a major HIV center associated with one of Guatemala's two national hospitals. HIV testing expanded rapidly after 2007 due to grants from the Global Fund which allowed for routine prenatal testing. Methods: This study examined existing hospital and clinic databases from to evaluate results from HIV tests performed, and baseline CD4 cells/mm3 on all patients newly diagnosed with HIV infection from 2005 to 2012. Results: We found a decline in the number of HIV positive tests over the study period despite an increase in the total number of tests performed. Sixty-two percent of HIV infected individuals had AIDS at diagnosis. We observed a decrease in median CD4 cells/mm3 among the prenatal testees and no change in non-prenatal testees. Discussion: Expanded HIV counseling and testing services in our clinic did not result in earlier HIV diagnosis.

KW - AIDS

KW - CFLAG

KW - HIV

KW - immunosuppression

KW - median CD4

UR - http://www.scopus.com/inward/record.url?scp=84966693615&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84966693615&partnerID=8YFLogxK

U2 - 10.1177/2325957416640362

DO - 10.1177/2325957416640362

M3 - Article

C2 - 27037251

AN - SCOPUS:84966693615

VL - 15

SP - 201

EP - 204

JO - Journal of the International Association of Providers of AIDS Care

JF - Journal of the International Association of Providers of AIDS Care

SN - 2325-9574

IS - 3

ER -