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The research investigates changes in HIV testing practices and outcomes over a decade.

P-269. From Missed Opportunities to Early Detection: A 10-Year Evaluation of HIV Testing Practices

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Retrospective review shows improved HIV testing and reduced late diagnosis rates after a quality improvement initiative.

The research investigates changes in HIV testing practices and outcomes over a decade.
Retrospective chart review of newly diagnosed HIV patients from 2014-2019 and 2020-2023
Analysis of demographics, risk factors, testing history, HIV stage, CD4 count, and viral load
Comparison of outcomes between two cohorts before and after a quality improvement initiative.
151 new HIV diagnoses in cohort 1 (2014-2019) and 145 in cohort 2 (2020-2023)
Outpatient HIV diagnoses increased significantly from 36.4% to 84.8%
Late presentation rates declined from 17.2% to 12.4%
AIDS diagnoses reduced from 52.3% to 37.9% with median CD4 count improving from 228 to 354
30-day mortality in newly diagnosed AIDS patients decreased from 2.6% to 0%

Pallotta et al. (2026) studied this question.

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