ObjetivesDespite advancements in HIV diagnosis and treatment, advanced HIV disease (AHD) is still a significant concern globally, especially in countries with high percentage of undiagnosed cases and late-stage diagnoses. MethodsA prospective pilot study was conducted in Buenos Aires, Argentina to assess the feasibility of implementing a package for people living with HIV integrating a point-of-care CD4 test followed by rapid Cryptococcus and Histoplasma antigen (Ag) detection. ResultsA total of 105 PLHIV were enrolled, during June 2021-October 2021. The VISITECT® CD4-Advanced Disease LFA (CD4-LFA) classified 98 (93%) patients with AHD. Compared with flow cytometry (FCM), the CD4-LFA performed with high sensitivity (100%), but low specificity (19%), and limited accuracy (47%). In the 98 patients classified with AHD using the CD4-LFA, 16 tested positive for any of the rapid Ag used, including 12 patients positives for the Histoplasma Ag test and four positives for Cryptococcus Ag; all four patients with positive Cryptococcus Ag in sera and were diagnosed with meningitis. In the 30-day follow-up, one death was recorded. ConclusionsThe CD4-LFA correctly classified all patients with CD4 ≤200 cells/μL by FCM, but a high frequency of patients misclassified with AHD was recorded. We also observed a high prevalence of opportunistic fungal infections, as previously observed in the hospital where this pilot study was conducted, but in contrast with those previous reports, mortality was lower. The study underscores the importance of scaling up comprehensive care strategies and collaborating with governmental and non-governmental partners to enhance access to essential diagnostic tools and treatments for PLHIV. Further research with larger sample sizes is needed to validate these findings.