Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic
Introduction: Due to potential disruptions in HIV care services caused by COVID-19, this study aimed to evaluate the variability in HIV screening between 2019 and 2022 among adults hospitalized in the general ward of a tertiary care hospital in Santa Fe. Materials and Methods: This ambispe...
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| Autores principales: | , , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2025
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/46015 |
| Aporte de: |
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I10-R327-article-46015 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
covid-19 human immunodeficiency virus screening covid-19 tamizaje virus de la inmunodeficiencia humana covid-19 vírus da imunodeficiência humana rastreio |
| spellingShingle |
covid-19 human immunodeficiency virus screening covid-19 tamizaje virus de la inmunodeficiencia humana covid-19 vírus da imunodeficiência humana rastreio Castro, Maximiliano Gabriel Sadonio, María José Willa, Ana Verónica Capeletti, Micaela Amato, Ana Paula Cravero, Guillermina Beloso, Melina Galluccio, Federico Rafael Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic |
| topic_facet |
covid-19 human immunodeficiency virus screening covid-19 tamizaje virus de la inmunodeficiencia humana covid-19 vírus da imunodeficiência humana rastreio |
| author |
Castro, Maximiliano Gabriel Sadonio, María José Willa, Ana Verónica Capeletti, Micaela Amato, Ana Paula Cravero, Guillermina Beloso, Melina Galluccio, Federico Rafael |
| author_facet |
Castro, Maximiliano Gabriel Sadonio, María José Willa, Ana Verónica Capeletti, Micaela Amato, Ana Paula Cravero, Guillermina Beloso, Melina Galluccio, Federico Rafael |
| author_sort |
Castro, Maximiliano Gabriel |
| title |
Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic |
| title_short |
Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic |
| title_full |
Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic |
| title_fullStr |
Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic |
| title_full_unstemmed |
Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic |
| title_sort |
variability in human immunodeficiency virus infection screening: impact of the covid-19 pandemic |
| description |
Introduction: Due to potential disruptions in HIV care services caused by COVID-19, this study aimed to evaluate the variability in HIV screening between 2019 and 2022 among adults hospitalized in the general ward of a tertiary care hospital in Santa Fe.
Materials and Methods: This ambispective and observational study evaluated the request for HIV serologic screening in patients selected through randomized sampling at a 2:1 ratio from October to December of the years 2019 to 2022. The impact of the COVID-19 pandemic during 2020 was compared to 2019, followed by the impact of an institutional intervention aimed at increasing the rate of HIV screening requests.
Results: A total of 995 subjects were included. HIV screening was requested for 47.4% (n=472) of them, with a positivity rate of 1.7% (n=8). In 2020, HIV screening decreased compared to 2019 (34% vs. 43.9%, p<0.001), and increased to 84.2% in 2022 (p<0.001). In the multivariate analysis, the odds of HIV screening decreased with age (OR 0.986), while hospital admission in 2019 and 2022 (OR 1.48 y 9.76, respectively) increased it.
Discussion: The COVID-19 pandemic exacerbated the already low rate of HIV screening requests, which was also influenced by the age of the subjects. However, through institutional guidelines, this situation was successfully reversed in 2022. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2025 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/46015 |
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I10-R327-article-460152025-08-01T19:33:46Z Variability in Human Immunodeficiency Virus infection screening: impact of the COVID-19 pandemic Variabilidad en el tamizaje de la infección por el Virus de la Inmunodeficiencia Humana: impacto de la pandemia de COVID-19 Variabilidade no rastreio da infeção pelo Vírus da Imunodeficiência Humana: impacto da pandemia de COVID-19 Castro, Maximiliano Gabriel Sadonio, María José Willa, Ana Verónica Capeletti, Micaela Amato, Ana Paula Cravero, Guillermina Beloso, Melina Galluccio, Federico Rafael covid-19 human immunodeficiency virus screening covid-19 tamizaje virus de la inmunodeficiencia humana covid-19 vírus da imunodeficiência humana rastreio Introduction: Due to potential disruptions in HIV care services caused by COVID-19, this study aimed to evaluate the variability in HIV screening between 2019 and 2022 among adults hospitalized in the general ward of a tertiary care hospital in Santa Fe. Materials and Methods: This ambispective and observational study evaluated the request for HIV serologic screening in patients selected through randomized sampling at a 2:1 ratio from October to December of the years 2019 to 2022. The impact of the COVID-19 pandemic during 2020 was compared to 2019, followed by the impact of an institutional intervention aimed at increasing the rate of HIV screening requests. Results: A total of 995 subjects were included. HIV screening was requested for 47.4% (n=472) of them, with a positivity rate of 1.7% (n=8). In 2020, HIV screening decreased compared to 2019 (34% vs. 43.9%, p<0.001), and increased to 84.2% in 2022 (p<0.001). In the multivariate analysis, the odds of HIV screening decreased with age (OR 0.986), while hospital admission in 2019 and 2022 (OR 1.48 y 9.76, respectively) increased it. Discussion: The COVID-19 pandemic exacerbated the already low rate of HIV screening requests, which was also influenced by the age of the subjects. However, through institutional guidelines, this situation was successfully reversed in 2022. Introducción: En virtud de potenciales disrupciones en los servicios de atención concernientes al VIH debidas al COVID-19, se propuso evaluar la variabilidad en tamizaje del VIH entre 2019 y 2022 en adultos hospitalizados en sala general de un hospital de tercer nivel de atención de Santa Fe. Materiales y métodos: Estudio ambispectivo y observacional que evaluó la solicitud de tamizaje del VIH a través de la solicitud de serologías en pacientes seleccionados a través de un muestreo aleatorizado en relación 2:1 entre los meses de octubre a diciembre de los años 2019 a 2022. Se evaluó el impacto de la pandemia de COVID-19 durante 2020 comparado con 2019 y luego el impacto de una intervención institucional realizada con el objetivo de aumentar la tasa de solicitud de dicho tamizaje. Resultados: 995 sujetos. Al 47,4% (n=472) se le solicitó el estudio serológico para VIH, con una positividad del 1,7% (n=8). En 2020 se redujo el tamizaje comparado a 2019 (34% vs 43,9%, p<0,001) y en 2022 ascendió al 84,2% (p<0,001). En el análisis multivariado, la edad (OR 0,986) disminuyó la chance de la solicitud del tamizaje y el año de ingreso hospitalario en 2019 y 2022 (OR 1,48 y 9,76, respectivamente) la aumentó. Discusión: La pandemia de COVID-19 agravó la ya baja solicitud de tamizaje del VIH, la cual también se vio influida por la edad de los sujetos. Sin embargo, a través de lineamientos institucionales se logró revertir esta situación en 2022. Introdução: Em virtude das potenciais disrupções nos serviços de atendimento relacionados ao VIH devido ao COVID-19, propôs-se avaliar a variabilidade no rastreio do VIH entre 2019 e 2022 em adultos hospitalizados nas alas gerais de um hospital de terceiro nível de atenção em Santa Fé. Materiais e métodos: Estudo ambispectivo e observacional que avaliou a solicitação de rastreio do VIH através da solicitação de sorologias em pacientes selecionados por meio de uma amostragem aleatória na proporção de 2:1 entre os meses de outubro a dezembro dos anos de 2019 a 2022. Avaliou-se o impacto da pandemia de COVID-19 durante 2020 em comparação com 2019 e, posteriormente, o impacto de uma intervenção institucional realizada com o objetivo de aumentar a taxa de solicitação desse rastreio. Resultados: 995 sujeitos. Para 47,4% (n=472) foi solicitado o exame sorológico para VIH, com uma positividade de 1,7% (n=8). Em 2020, o rastreio reduziu em comparação a 2019 (34% vs 43,9%, p<0,001) e em 2022 aumentou para 84,2% (p<0,001). Na análise multivariada, a idade (OR 0,986) diminuiu a chance da solicitação do rastreio, enquanto o ano de internação hospitalar em 2019 e 2022 (OR 1,48 e 9,76, respectivamente) a aumentou. Discussão: A pandemia de COVID-19 agravou a já baixa solicitação de rastreio do VIH, a qual também foi influenciada pela idade dos sujeitos. No entanto, através de diretrizes institucionais, conseguiu-se reverter essa situação em 2022. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-06-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/46015 10.31053/1853.0605.v82.n2.46015 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 2 (2025); 237-252 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 2 (2025); 237-252 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 2 (2025); 237-252 1853-0605 0014-6722 10.31053/1853.0605.v82.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/46015/49076 https://revistas.unc.edu.ar/index.php/med/article/view/46015/49077 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |