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Possibility of Decreasing Incidence of Human Immunodeficiency Virus Infection in Korea.

Authors
  • Lee, Minkyeong1
  • Park, Wan Beom1
  • Kim, Eu Suk1
  • Kim, Yeonjae2
  • Park, Sang-Won3
  • Lee, Eunyoung3
  • Oh, Myoung-Don1
  • Kim, Nam Joong1
  • Kim, Hong Bin4
  • Song, Kyoung-Ho4
  • Choe, Pyoeng Gyun1
  • Kang, Chang Kyung1
  • Lee, Chan Mi1
  • Choi, Yunsang4
  • Moon, Song Mi4
  • Choi, Seong Jin4
  • Jeon, Jaehyun5
  • Bang, Jihwan6
  • 1 Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. , (North Korea)
  • 2 Department of Internal Medicine, National Medical Center, Seoul, Korea. , (North Korea)
  • 3 Department of Internal Medicine, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea. , (North Korea)
  • 4 Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. , (North Korea)
  • 5 Department of Internal Medicine, National Medical Center, Seoul, Korea. [email protected]. , (North Korea)
  • 6 Department of Internal Medicine, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea. [email protected]. , (North Korea)
Type
Published Article
Journal
Infection & chemotherapy
Publication Date
Dec 01, 2023
Volume
55
Issue
4
Pages
451–459
Identifiers
DOI: 10.3947/ic.2023.0056
PMID: 37674340
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The number of newly diagnosed cases of human immunodeficiency virus (HIV) infection in Korea, which had increased until 2019, has markedly decreased since the coronavirus disease 2019 pandemic started. This study evaluated whether the decrease is due to a reduction in the incidence of HIV infection and/or delayed diagnosis during the pandemic. We reviewed the medical records of 587 newly diagnosed patients with HIV infection between February 2018 and January 2022 from four general hospitals, and their characteristics were compared between the pre-pandemic and pandemic periods. The lapse time from infection to diagnosis was estimated using an HIV modeling tool. The estimated mean times to diagnosis were 5.68 years (95% confidence interval [CI]: 4.45 - 6.51 years) and 5.41 years (95% CI: 4.09 - 7.03 years) before and during the pandemic, respectively (P = 0.016). The proportion of patients with acquired immunodeficiency syndrome-defining illnesses, expected to visit hospitals regardless of the pandemic, decreased from 17.2% before the pandemic to 11.9% during the pandemic (P = 0.086). The decrease in the number of newly diagnosed cases of HIV infection in Korea might have resulted from an actual decrease in the incidence of HIV infection rather than a worsening of underdiagnosis or delayed diagnosis. Copyright © 2023 by The Korean Society of Infectious Diseases, Korean Society for Antimicrobial Therapy, and The Korean Society for AIDS.

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