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Clinical Presentations of Newly Diagnosed HIV-Infected Patients at a University Hospital in Bangkok, Thailand

Department of Medicine, Mahidol University, rasal{at}mahidol.ac.th

Kochamarj Boonyarattaphun, MD

Department of Medicine, Mahidol University

Kalayanee Atamasirikul, MSc

Department of Pathology Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Somnuek Sungkanuparph, MD

Department of Medicine, Mahidol University

Background: Epidemiology and clinical features of newly diagnosed HIV-infected patients vary and depend on period of time and geographical area. Methods: A retrospective review was conducted in adults with positive HIV antibody testing between January and December 2006 at a university hospital setting. Results: Prevalence of HIV infection was 1.0%. There were 221 patients with a median age of 35.5 (range, 15.8-72.3) years, and 57% were males. The most common risk of HIV acquisition was heterosexual (63.8%). The most common reason for HIV testing was preoperative screening (41.2%). Of all, 52.9%, 37.1%, and 10% were diagnosed as AIDS, asymptomatic, and symptomatic patients, respectively. Median CD4 count at HIV diagnosis was 260 (range, 6-1284) cells/mm³. AIDS-defining illnesses were found in 35.7%. Overall mortality rate was 1.8%. Conclusions: More than half of newly diagnosed HIV-infected patients have advanced HIV disease and are unaware of their HIV status. These results reflect inadequate education of HIV risks and voluntary HIV testing in Thailand.

Key Words: AIDS • epidemiology • HIV • HIV testing • Thailand

This version was published on April 1, 2008

Journal of the International Association of Physicians in AIDS Care (JIAPAC), Vol. 7, No. 2, 82-87 (2008)
DOI: 10.1177/1545109708315485


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