[Missed opportunities in HIV detection: experience in a referral hospital].

INTRODUCTION

Late diagnosis of HIV infection continues to be a significant public health challenge. The objective of the study was to analyze the frequency of late diagnosis and missed diagnostic opportunities among newly diagnosed cases of HIV infection.

MATERIALS AND

METHODS

A retrospective observational study including newly diagnosed HIV cases between 2017 and 2024 was conducted, evaluating demographic and clinical variables and routes of transmission, as well as previous contact with the healthcare system.

RESULTS

103 patients were analyzed, most of whom were men (86.5%). The main route of transmission was sexual among men who have sex with men (61.2%). 44.7% of cases were diagnosed late, and 25.2% had advanced disease. 87.4% had previous healthcare contact, and in 49.5% of cases, diagnostic opportunities had been missed.

CONCLUSIONS

Strengthening early detection is essential to reduce morbidity and mortality and curb HIV transmission.