Evidence map›Paper›PMID 36372396›Full record

ArticleHIV medicine2022

Delayed HIV diagnosis during the COVID-19 pandemic in Poland: A call for targeted HIV testing for those under suspicion of SARS-CoV-2.

Magdalena M Suchacz, Dagny Krankowska, Aneta Cybula, Juliusz Kamerys, Elżbieta Jabłonowska, Błażej Rozpłochowski, Monika Bociąga-Jasik, Alicja Wiercińska-Drapało

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In one paragraph

Article in HIV medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Magdalena M SuchaczDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-2190-8494
Dagny KrankowskaDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0001-5616-6040
Aneta CybulaDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0001-8071-7455
Juliusz KamerysDepartment of Infectious Diseases and Hepatology, Medical University of Lodz, Lodz, Poland.ORCID 0000-0002-0320-0281
Elżbieta JabłonowskaDepartment of Infectious Diseases and Hepatology, Medical University of Lodz, Lodz, Poland.ORCID 0000-0002-7282-1225
Błażej RozpłochowskiJózef Struś Multispecialty Municipal Hospital in Poznan, Poznan, Poland.ORCID 0000-0003-1627-8456
Monika Bociąga-JasikDepartment of Infectious and Tropical Diseases, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0002-6474-0177
Alicja Wiercińska-DrapałoDepartment of Infectious and Tropical Diseases and Hepatology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0001-5921-1409
Medical University of Warsaw · PLMedical University of Lodz · PLJagiellonian University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to analyse patients newly diagnosed with HIV who were originally admitted to hospitals with suspicion of COVID-19.

methodsThis was a retrospective case series undertaken at four sites. Only adults with new HIV diagnosis and COVID-19 exclusion hospitalized in 2020-2021 were included. Demographic, clinical and laboratory data were collected from medical records.

resultsTwenty-five patients were included in the analysis: 19 men (76%), 11 of Ukrainian origin (44%). The median age was 38.5 years (range 25-59). The mode of HIV transmission was heterosexual for 11 (44%) patients, eight (32%) were men who have sex with men and three (12%) were people who inject drugs. The median duration of symptoms prior to hospital presentation was 20.6 days (range 3-90). The median number of SARS-CoV-2 tests per patient was 2.62 (range 1-7). All SARS-CoV-2 tests were negative. Screening for HIV was performed on average on the 18th day of hospitalization (range 1-36 days). Twenty-three patients (92%) were late presenters, 22 (88%) had advanced disease, and 19 (76%) were in the AIDS stage. The median CD4 T-cell count was 72 cells/μL (range 3-382). The rate of positive HIV testing at the two sites where it was available for people with suspected COVID-19 was 0.13% (7/5458 during the study period).

conclusionsWe strongly recommend introducing the HIV screening test in the diagnostic algorithm for every patient suspected of having COVID-19, presenting with clinical and/or radiological pulmonary symptoms.

Indexed as

COVID-19HIV InfectionsSexual and Gender MinoritiesAdultFemaleHIV TestingHomosexuality, MaleHumansMaleMiddle AgedPandemicsPolandRetrospective StudiesSARS-CoV-2COVID-19 suspicionHIV late presentationHIV testing

Identifiers

PMID36372396
PMCPMC9877591
OpenAlexW4308894057

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.