Cascade of Care for HIV, Hepatitis and Sexually Transmitted Infections

A special issue of Viruses (ISSN 1999-4915). This special issue belongs to the section "Human Virology and Viral Diseases".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 1010

Special Issue Editor

Special Issue Information

Dear Colleagues,

The care cascade is a concept used to assess and improve the engagement of people living with HIV at various stages of HIV care and treatment. It helps identify gaps in the continuity of care and develop strategies to ensure that people living with HIV receive the health services and support that they need. This concept was so effective that it deserved to be transferred to other infectious diseases, especially hepatitis B virus (HBV), hepatitis C virus (HCV), and other sexually transmitted viruses.

This comprehensive approach ensures that individuals receive the screening, diagnosis, treatment, and support that they need, ultimately improving their overall health and well-being. Promoting the well-being of people living with HIV goes beyond clinical care to address their overall quality of life and holistic health.

The purpose of this Special Issue is to collect research related to HIV, viral hepatitis, and other sexually transmitted viruses, covering topics ranging from early diagnosis and effective treatment to well-being and quality of life.

Prof. Dr. Justyna Dominika Kowalska
Guest Editor

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Keywords

  • HIV
  • AIDS
  • cascade
  • linkage
  • HCV
  • HBV
  • sexually transmitted infections

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Related Special Issue

Published Papers (2 papers)

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Research

14 pages, 799 KiB  
Article
Short Assessment for People with Human Immunodeficiency Virus (HIV) Aged 50 Years or Older: Essential Tests from Comprehensive Geriatric Assessment
by Jordi Puig, Pau Satorra, Ana Martínez, Sandra González, Roberto Güerri-Fernández, Itziar Arrieta-Aldea, Isabel Arnau, Anna Prats, Vira Buhiichyk, Cristian Tebe and Eugenia Negredo
Viruses 2025, 17(7), 887; https://doi.org/10.3390/v17070887 - 24 Jun 2025
Viewed by 219
Abstract
Background: Comprehensive geriatric assessments (CGAs) are necessary to address the needs of people with human immunodeficiency virus infection (PWH) aged ≥ 50 years and ensure that they receive high-quality care. We aimed to identify the most effective tests from an extensive CGA to [...] Read more.
Background: Comprehensive geriatric assessments (CGAs) are necessary to address the needs of people with human immunodeficiency virus infection (PWH) aged ≥ 50 years and ensure that they receive high-quality care. We aimed to identify the most effective tests from an extensive CGA to develop a short CGA. Methods: This observational, cross-sectional, and analytical study was conducted in three phases: (1) describing PWH aged ≥ 50 and matched controls; (2) jointly analyzing data to identify the most effective tests from the original CGA and develop a short version; and (3) applying the short CGA separately to both groups. Results: The most effective tests—the Lawton scale, SPPB, Barber questionnaire, Pittsburgh Sleep Quality Index, and Cognitive Complaints questionnaire—were used to create a short CGA. It identified abnormalities in 77% of PWH flagged by the full CGA, though 65% with the normal short CGA results had at least one abnormal result in the full version. Most false negatives were due to the excluded Hearing-Dependent Activities scale. Conclusions: These findings represent an initial step toward developing a short CGA for an easy and rapid identification of PWH aged ≥ 50, beyond a frailty assessment, who may benefit from early clinical management. Full article
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11 pages, 827 KiB  
Article
Prevalence of Sexually Transmitted Infections Among Cisgender Women Coming to a Walk-In Center
by Gaia Catalano, Tommaso Clemente, Sara Diotallevi, Riccardo Lolatto, Benedetta Trentacapilli, Martina Ranzenigo, Elena Bruzzesi, Paola Cinque, Antonella Castagna and Silvia Nozza
Viruses 2025, 17(4), 498; https://doi.org/10.3390/v17040498 - 29 Mar 2025
Viewed by 534
Abstract
The general female population is not considered a high-risk group for screening for sexually transmitted infections (STIs). This retrospective study describes the prevalence of Human Immunodeficiency Virus (HIV), Treponema pallidum (T. pallidum), Chlamydia trachomatis (C. trachomatis), Neisseria gonorrhoeae ( [...] Read more.
The general female population is not considered a high-risk group for screening for sexually transmitted infections (STIs). This retrospective study describes the prevalence of Human Immunodeficiency Virus (HIV), Treponema pallidum (T. pallidum), Chlamydia trachomatis (C. trachomatis), Neisseria gonorrhoeae (N. gonorrhoeae), Trichomonas vaginalis (T. vaginalis), Mycoplasma spp., Ureaplasma spp., genital Herpes simplex virus (HSV), Monkeypox (mpox), Hepatitis B virus (HBV), and Hepatitis C virus (HCV) infections in asymptomatic and symptomatic cisgender women attending our walk-in STI clinic for the first time. Furthermore, it analyzes the number of individuals who returned for follow-up and were diagnosed with new STIs. Over 20 months, 189 women with a median age of 28.4 years were screened [129 (68.3%) asymptomatic and 60 (31.8%) symptomatic]. In order of prevalence, the most common STIs were: Ureaplasma spp. infections (50.3%), C. trachomatis (10.6%), N. gonorrhoeae (5.8%), Mycoplasma hominis infections (5.8%), T. pallidum (2.65%), HSV2 infections (2.65%), and mpox (0.53%). No diagnosis of HIV, trichomoniasis, HBV, or HCV was registered. After the initial evaluation, 128 (67.7%) women returned for follow-up, but only 43 (22.8%) repeated screening; among them, 11 (25.6%) were diagnosed with new STIs. Given the high prevalence of STIs in cisgender women, awareness measures to improve screening and prevention strategies in this neglected population are required. Full article
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