Characterization of new HIV diagnoses made in hospital emergency departments through the “Leave Your Mark” program

Enfermedades infecciosas y microbiologia clinica (English ed.) Pub Date : 2025-10-01 DOI:10.1016/j.eimce.2025.05.006

Phillipe Calpe Delgado , Patricia Muñoz , Alberto Pizarro Portillo , Virginia Álvarez Rodríguez , Ángel Iván Díaz Salado , Isabel Arenas Berenguer , Marta Álvarez Alonso , Esther Gargallo García , Fátima Fernández Salgado , Alma Elena Real Martín , Irene Cabrera Rodrigo , Anaura Carrasquel Regalade , María Ángeles Moreno Planelles , Margarita Jurado Otero , Rodrigo Sanz Lorente , Luis Pérez Ordoño , Ana Carrero Fernández , Juan González del Castillo , representing the Madrid HIV network

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Abstract

Introduction

The Leave Your Mark (DTH) program launched recommendations for HIV screening in emergency departments (ED) when patients presented with certain conditions. It is unknown whether the profile of patients diagnosed in the ED is similar to those reported for general population in epidemiological reports.

Methods

Retrospective study evaluating the characteristics of patients with new HIV diagnosed in 17 ED over a one-year period was developed. Demographic data (sex at birth, age, country of birth), sexual and risk behaviour, diagnosis in ED, number of emergency visits in previous five years, time from the ED to the specific HIV consultation, and from ED to start antiretroviral treatment were recorded. Information on the first CD4 and viral load was also collected.

Results

A total of 169 patients were included. There were 122 (72.2%) migrants, 57 (32.5%) heterosexual, and injection drug use was the transmission route in 14 (8.3%) cases. Data reported for the general population were 49.8%, 25.7%, and 1.7%, respectively. Late diagnosis was found in 80 (47.3%) patients (reported figures by the Ministry, 48.7%). Compared to Spanish, migrant were more frequently women (13.1% vs. 6.4%), heterosexual (38.5% vs. 21.3%), and had worse immunological status [median CD4 count of 310 (IQR 132–457) vs. 444 (IQR 215−607)].

Conclusion

ED can play a key role in diagnosing a different patient profile that may not seek care at other healthcare levels.

查看原文本刊更多论文

通过“留下你的印记”计划在医院急诊科新诊断的HIV特征。

简介：当患者出现某些情况时，“留下你的印记”（Leave Your Mark， DTH）计划提出了在急诊科（ED）进行艾滋病毒筛查的建议。目前尚不清楚在急诊科诊断的患者的概况是否与流行病学报告中报道的普通人群相似。方法：回顾性分析17例ED患者一年内新发HIV的特点。记录了人口统计数据（出生时的性别、年龄、出生国家）、性行为和风险行为、急诊科的诊断、过去五年的急诊次数、从急诊科到特定艾滋病毒咨询的时间，以及从急诊科到开始抗逆转录病毒治疗的时间。还收集了首次CD4和病毒载量的信息。结果：共纳入169例患者。流动人口122例（72.2%），异性恋者57例（32.5%），注射吸毒为传播途径14例（8.3%）。一般人群报告的数据分别为49.8%、25.7%和1.7%。80例（47.3%）患者发现晚期诊断（卫生部报告数据为48.7%）。与西班牙人相比，移民更多的是女性（13.1%对6.4%），异性恋（38.5%对21.3%），免疫状况更差[中位CD4计数为310 （IQR 132-457）对444 (IQR 215-607)]。结论：ED可以在诊断可能不寻求其他医疗保健水平的不同患者方面发挥关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Enfermedades infecciosas y microbiologia clinica (English ed.)

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