Abstract：
:We sought to describe the prevalence, trends and factors associated with late diagnosis of HIV infection between 2001 and 2008 in Catalonia, Spain. Adults over 13 years of age with available CD4 cell counts, who were notified to the Catalonia Voluntary HIV Surveillance System between January 2001 and December 2008, were included in the study. Late presentation for HIV infection was defined as a CD4 cell count <350 cells/μL or with an AIDS-defining condition at presentation. Multivariable logistic regression was used to identify factors independently associated with late diagnosis of HIV. Of the 4651 newly diagnosed HIV-infected individuals with available CD4 counts, 2598 (55.9%) were diagnosed late. The proportion of people with a late diagnosis decreased from 60.4% in 2001 to 50% in 2008, a significant trend (P < 0.001). Older age, male gender, foreign birth, heterosexuality and injecting drug use were independent risk factors for late diagnosis. Strategies to actively promote HIV testing to populations at risk of late diagnosis of HIV or those never attending health systems should be implemented.
journal_name
Int J STD AIDSjournal_title
International journal of STD & AIDSauthors
Vives N,Carnicer-Pont D,García de Olalla P,Camps N,Esteve A,Casabona J,HIV and STI Surveillance Group.doi
10.1258/ijsa.2011.011280subject
Has Abstractpub_date
2012-07-01 00:00:00pages
475-80issue
7eissn
0956-4624issn
1758-1052pii
23/7/475journal_volume
23pub_type
杂志文章abstract：:Condom promotion in sub-Saharan Africa has been accused by some conservative groups of encouraging promiscuity. This study explored the relationship between condom availability and sexually transmitted infection (STI) incidence in a closed Malawian community. An audit of clinic records charted the changing availabilit...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/095646207781439801
更新日期：2007-08-01 00:00:00
abstract：:Seventy-eight men with symptoms of chronic or subacute prostatitis were enrolled. Investigations for the presence of Chlamydia trachomatis in urethral swabs were carried out. The expressed prostatic secretions were additionally examined for Mycoplasma hominis, Ureaplasma urealyticum, Gardnerella vaginalis, other gram-...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/0956462981922395
更新日期：1998-06-01 00:00:00
abstract：:The potential for drug-drug interactions (DDIs) between direct oral anticoagulants and antiretroviral therapy (ART) is vast. Ritonavir and cobicistat are used as pharmacokinetic enhancers with either concurrent protease inhibitors or the integrase strand transfer inhibitor, elvitegravir, to optimize therapeutic concen...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462419832099
更新日期：2019-06-01 00:00:00
abstract：:Local genital tract inflammation stimulates leukocyte activity and causes HIV shedding, potentially increasing HIV sexual infectiousness. Although there are available clinical markers for genital tract inflammation, such as urinary leukocyte esterase, none have yet been examined in relation to HIV sexual risk behaviou...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462414536147
更新日期：2015-04-01 00:00:00
abstract：:Patients with HIV infection have a higher propensity for infectious, inflammatory, neoplastic and metabolic disorders. The link with psoriasis vulgaris is explained by well-known pathophysiological phenomena and can be observed at any stage of infection. The aim of our study was to characterize the clinical spectrum o...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2011.010525
更新日期：2011-11-01 00:00:00
abstract：:The management and outcome of all cases of gonorrhoea which presented to a south London genitourinary medicine clinic during 1999 were assessed and compared with published national guidelines. The incidence of penicillin resistance was calculated, as was the rate of co-infection with chlamydia and trichomonas. Informa...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/095646203322301095
更新日期：2003-09-01 00:00:00
abstract：:The prevalence of gonorrhoea and urogenital chlamydial infection was investigated in female prostitutes in Tegucigalpa, Honduras. Epidemiological data were recorded according to a standardized questionnaire. The median age of the prostitutes was 27 years and the median period of prostitution was 2-4 years. Most of the...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/095646249100200309
更新日期：1991-05-01 00:00:00
abstract：:The aim of this work was to study the human papillomavirus (HPV) type-distribution in condylomata acuminata (CA) of mainland China and to estimate the potential role of HPV prophylactic vaccines for CA in mainland China. Forty-three studies using polymerase chain reaction to detect HPV were included in this meta-analy...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章,meta分析
doi：10.1258/ijsa.2008.008040
更新日期：2008-10-01 00:00:00
abstract：:The Senegal pre-exposure prophylaxis (PrEP) Demonstration Project was an open-label cohort study assessing the delivery of daily oral PrEP to HIV-negative female sex workers (FSWs) in four Ministry of Health (MoH)-run clinics in Dakar, Senegal. We assessed uptake, retention in care, and adherence over up to 12 months ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462420943704
更新日期：2020-10-01 00:00:00
abstract：:A fortnightly in-reach genitourinary (GU) medicine Service to a medium security male prison has been provided since April 2004. Patients are seen either by referrals from the prison general practitioner (GP), or at an individual's request. Problems have arisen due to a lack of space and time - the health adviser and d...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/095646207780658908
更新日期：2007-04-01 00:00:00
abstract：:Fever of unknown origin (FUO) is a common presentation for patients with advanced human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS). We prospectively followed 72 patients, consecutively admitted to a Thai regional hospital with FUO and HIV infection to identify aetiologies and...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2007.007191
更新日期：2008-04-01 00:00:00
abstract：:To follow the progression of HIV seropositivity among heterosexual adults at risk for HIV infection in the country of Rwanda prospectively, up to 100 patients with sexually transmitted diseases (STD) were tested each month from 1988 to 1991 at the health centre of Biryogo, which is located in a very crowded sector of ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/095646249300400406
更新日期：1993-07-01 00:00:00
abstract：:An HIV-positive African woman developed severe constitutional symptoms associated with rebound viraemia during a planned antiretroviral treatment interruption, requiring reinitiation of highly active antiretroviral therapy. ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/0956462041558131
更新日期：2004-08-01 00:00:00
abstract：:Recognising the initial clinical presentation of acute HIV infection could enable earlier initiation of antiretroviral therapy and appropriate counselling to reduce the risk of transmission to others. Herein, we describe an unusual case of acute HIV infection presenting as limbic encephalitis and rhabdomyolysis. ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462414560777
更新日期：2015-10-01 00:00:00
abstract：:A recent survey reported that 36% of UK genitourinary medicine clinics offer testing for pharyngeal Chlamydia trachomatis (CT). Screening at this site is targeted at high-risk groups attending our centre, including female sex workers (FSWs) and male sex workers (MSWs). A total of 2406 patients were screened between No...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2010.009494
更新日期：2010-11-01 00:00:00
abstract：:The limited published data support the assumption that lesbians are a low risk group for sexually transmitted diseases (STDs). However, there are virtually no contemporary data and the older papers do not take into account genital wart virus infection, now the third most prevalent STD in Britain. One of the dangers in...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/095646249000100304
更新日期：1990-05-01 00:00:00
abstract：:HIV testing and counselling is crucial in identifying new HIV cases and linking them to treatment. Provider-initiated testing and counselling can help to increase uptake of HIV testing and counselling and HIV case detection. We implemented provider-initiated testing and counselling in 32 health facilities in Ebonyi St...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462418783533
更新日期：2018-12-01 00:00:00
abstract：:The pharmacokinetics of antiretroviral drugs in pregnancy is poorly understood. We reviewed the use of therapeutic drug monitoring (TDM) in clinical settings to document plasma concentrations of lopinavir during pregnancy and investigated how clinicians acted upon TDM results. A retrospective review was carried out of...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2009.009184
更新日期：2011-01-01 00:00:00
abstract：:The sexual health services in the Birmingham and Solihull area of the United Kingdom, called Umbrella, has been offering home-based testing for sexually transmitted infections to patients since August 2015. The aim of this service evaluation was to evaluate the uptake, return rate and new diagnosis rates of home-based...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462419900461
更新日期：2020-06-01 00:00:00
abstract：:Individuals with substance use disorders (SUDs) are at higher risk of HIV infection, yet recent studies show rates of HIV testing are low among this population. We implemented and evaluated a nurse-initiated HIV oral rapid testing (NRT) strategy at three Veterans Health Administration SUD clinics. Implementation of NR...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2012.012050
更新日期：2012-11-01 00:00:00
abstract：SUMMARY:The objective of this study was to identify factors associated with (i) longer patient travel time to genitourinary (GU) medicine clinics and (ii) not attending the nearest clinic. Questionnaires were completed by 4600 new attendees from seven sociodemographically and geographically different GU clinics across ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2008.008205
更新日期：2008-12-01 00:00:00
abstract：:The clinical features of vulvovaginal candidiasis are the result of the inflammatory response of the vulva and vagina to Candida overgrowth. Topical treatments comprise intra-vaginal pessaries or cream used in combination with a similar azole-based cream for external application. In this audit Candida isolation rates ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/0956462001915228
更新日期：2000-12-01 00:00:00
abstract：:These clinical standards for the screening and management of acquired syphilis in HIV-positive patients in the UK were first made available on the MSSVD website in February 2002. They have been updated by the 2006 UK National Guideline on the Sexual Health of People with HIV which is also published in this issue of th...
journal_title：International journal of STD & AIDS
pub_type： 指南,杂志文章
doi：10.1258/095646206778113096
更新日期：2006-09-01 00:00:00
abstract：:Domestic violence (DV) occurs frequently within the UK, with one in four women and one in six men experiencing DV during their life. DV is the leading cause of morbidity for women aged 19-44 years and is associated with sexual health problems. However, few data exist on the prevalence of DV in UK genitourinary (GU) me...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462412472799
更新日期：2013-05-01 00:00:00
abstract：:The transmission efficiency of HIV-1 through unsafe medical injections can be estimated from seroconversions among health care workers (HCWs) after percutaneous exposures and documented iatrogenic outbreaks. Data from a case-control study of seroconversion after percutaneous exposures among US and European HCWs shows ...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/0956462021924820
更新日期：2002-03-01 00:00:00
abstract：:Although the incidence of HIV among women on probation, parole and alternatives to incarceration programs is significant to public health, drivers of this concentrated epidemic among women under community corrections remain understudied. This study examined prevalence of HIV and sexually transmitted infections and the...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462416633624
更新日期：2017-02-01 00:00:00
abstract：:Progression of lipodystrophy syndrome is a big challenge in HIV treatment. Nowadays, fat loss at the lower part of buttocks has become another problem as patients have started to complain that it is painful to be seated for a long time and/or on hard surfaces. We developed a method for buttock lipoatrophy treatment wi...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1177/0956462414536878
更新日期：2015-03-01 00:00:00
abstract：:The management of cases of Chlamydia trachomatis genital infection diagnosed in clinics in Wessex in the last quarter of 1996 was surveyed, and the results compared with those obtained in the national gonorrhoea audit. Treatment regimens were extremely varied both between and within clinics. Overall, 71% of patients s...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/0956462981921675
更新日期：1998-02-01 00:00:00
abstract：:A questionnaire survey and case notes audit reviewing management of epididymo-orchitis (E-O) by 34 Genitourinary Medicine (GUM) clinics located in the North Thames was undertaken. Twenty-two clinics (65%) returned completed questionnaires and audited a total of 83 newly diagnosed cases. All participating clinics offer...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/0956462011923066
更新日期：2001-05-01 00:00:00
abstract：:It is important to assess uptake of a new vaccine. The present survey estimated the uptake of the recently introduced human papillomavirus vaccine (HPVV) in the emirate of Abu Dhabi and also explored barriers to uptake. A questionnaire survey was conducted in secondary schools, enrolling 334 girls. The uptake percenta...
journal_title：International journal of STD & AIDS
pub_type： 杂志文章
doi：10.1258/ijsa.2009.009380
更新日期：2011-07-01 00:00:00
