• Magda Muelas Fernandez, Jhon Fredy Rojas Lievano, Rafel Perez Vidal, Antonia Flor Perez, Alfons Tapiz Reula, and Josep Mallolas Masferrer.
• Departamento Medicina Interna, Fundació Althaia, Manresa, Barcelona, España. Electronic address: magdamu80@gmail.com.
• Med Clin (Barc). 2020 Nov 13; 155 (9): 388-391.

BackgroundPrevalence of late diagnosis (LD) and identifying missed opportunities.MethodsRetrospective observational study of new HIV diagnoses between 2013 and 2018 in our referral area. Sociodemographic and clinical-analytical variables were analysed at the time of diagnosis. The patient's clinical history in the last 5 years before the HIV diagnoses was reviewed to identify missed opportunities for early diagnosis.ResultsSeventy-four patients were included. The prevalence of LD was 44.6%, and 23% as an advanced disease. A tendency for LD was observed in patients older than 40 years, especially among Spaniards. Being tested 11for HIV protected against LD. All patients who had previous contact with the health system had clinical indicators or risk factors associated with HIV, but only 50% had ever been tested in their lifetime of HIV.ConclusionsIn spite of multiple contacts with our health system, almost half of the new cases of HIV infection are diagnosticated late. Different strategies should be implemented to improve the identification of the risk factors and clinical indicators of possible HIV infection.Copyright © 2020 Elsevier España, S.L.U. All rights reserved.

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