Factors associated with late diagnosis epidemic of Human Immunodeficiency Virus

Abstract

Human Immunodeficiency Virus (HIV) is a pandemic, there are reported cases worldwide, the ideal is to diagnose it in time, but there are many factors that delay diagnosis, causing multiple complications and high mortality. Objective: This study evaluated the demographics, lifestyles and health conditions associated with delayed diagnosis of Human Immunodeficiency Virus, women and men, aged 20 to 60 years, diagnosed at the University Hospital, 2011-2014 Medellin, Colombia. Methods: quantitative, retrospective, observational and descriptive approach. After reviewing compliance with the inclusion criteria, they were analyzed 168 medical records of patients between 20-64 years, reported from HUSVF as HIV / AIDS event SIVIGILA during the years 2011-2014. Results: 85.7% of the study population presented late HIV diagnosis. In multivariate analysis significant association with viral load, gastrointestinal symptoms, and more HIV AIDS symptoms it was found.  In survival analysis, the cumulative probability of death of patients with late diagnosis is the 93.02% up to 10 days after admission to a hospital. In assessing survival times among patients with late diagnosis and late patients without HIV / AIDS diagnosis, no differences in survival functions were found. In the analysis of Cox proportional hazards two aspects showed significant differences versus survival times: viral load and symptoms at the time of the query. Conclusions: This study showed the epidemic of late diagnosis, suggesting that the strategies implemented at present appear to be insufficient; it is therefore emerging rethink the approach to this disease