HIV Seropositivity, CD4+ T Lymphocytopenia
Conditions
Brief summary
This retrospective observational study aims at the examination of regional differences in the procedure of referral for serological HIV testing between eastern (new) and western (old) German federal states.
Detailed description
Increasing incidence of HIV infections urges early recognition and timely introduction of therapy. Regional differences in referral approach and patient behavior are presumably associated with considerable delays in infection recognition and therapy onset. Comparison of records of new cases which were diagnosed in 2014 in several eastern federal states and a major western German city is expected to disclose whether the regionally preferred type of the primary care institution affects the time point of first diagnosis and the elapsed time since the emergence of the infection, as assessed by Cluster of Differentiation 4 positive (CD4+) lymphocyte counts and manifestation of clinical symptoms of immune deficiency.
Interventions
Review of medical records of patients diagnosed for the first time as HIV seropositivity
Sponsors
Study design
Eligibility
Inclusion criteria
* first-time HIV seropositivity
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Type of HIV-verifying medical institution | 1 day | Medical Institution (university hospital, general practitioner, specialized medical office) which has diagnosed HIV seropositivity for the first time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CD4+ lymphocyte counts | 1 day | Number of CD4+ lymphocytes at the time of HIV diagnosis |
| Symptoms of AIDS-related diseases | 1 day | Presence of AIDS-related disease symptoms at the time of first HIV seropositivity diagnosis |
Countries
Germany