HIV prevalence among first‐presentation psychotic patients

Abstract

Co-occurrence of HIV infection was a frequent finding in first-episode psychotic individuals residing in a high-prevalence HIV setting. These individuals are more likely to have an underlying medical condition precipitating the onset of psychosis, not to have been initiated on antiretroviral therapy and to present with a low CD4 cell count and high HIV viral load.

COVID-19-Induced Psychosis and Suicidal Behavior: Case Report

“…Untreated HIV infection has also been associated with new onset psychosis [15]. The risk of psychosis in these patients is shown to be positively correlated with HIV viral load and negatively correlated with CD4 count [16]. Symptoms in these patients generally improve with low-dose antipsychotics and initiation of antiretroviral therapy.…”

HIV prevalence and access to HIV testing and care in patients with psychosis in South Africa

“… 5 In a more recent study, the authors reported a 39.6% prevalence of HIV among all first-presentation psychotic patients attending the emergency department in Gauteng province, SA. 6 The high prevalence of HIV among people with severe mental illness, such as with psychosis, is further supported by a recent systematic review and meta-analysis on the prevalence of HIV in patients with FEP from Africa. The study reported an HIV prevalence range from 23.8% to 39.6%, while the meta-analysis of their data reported the pooled proportion of HIV in patients living with FEP as 26% (95% confidence interval [CI] 10–42).…”