Infectious Disease Reports
Data Completeness and Recorded Advanced HIV Categories in a Regional Registry Extract from Northwestern Romania: A Retrospective Audit of 192 Records and Diagnosis Trends, 2013–2023
By Andrada Abrudan (Secară), Timea Claudia Ghitea, Andrei Nicolae Csep and 6 others.
Abstract
Background
Regional HIV data can support surveillance only when the meaning, timing, and completeness of core variables are explicit. We audited a regional HIV registry extract from Bihor County, Northwestern Romania, and described recorded diagnoses during 2013–2023.
Methods
The supplied extract contained 192 individual records. Completeness analyses used all records. Annual-count analyses used 154 records with a diagnosis year between 2013 and 2023; 22 records diagnosed before 2013 and 16 with unknown diagnosis year were excluded from temporal analyses. A prespecified recorded advanced-category proxy was defined as CDC stage C and/or immunologic category 3 among records with interpretable A1–C3 staging. Drug indicators were recoded as non-mutually exclusive antiretroviral classes. A Poisson model quantified change in annual recorded counts; it was not interpreted as incidence because population denominators were unavailable.