Optimizing the delivery of HIV counseling and testing services: the Uganda experience using rapid HIV antibody test algorithms.
J Acquir Immune Defic Syndr Hum Retrovirol
; 18(4): 384-8, 1998 Aug 01.
Article
en En
| MEDLINE
| ID: mdl-9704945
ABSTRACT
PIP: An evaluation conducted at the AIDS Information Center in Kampala, Uganda, demonstrated that same-day HIV results can be provided in counseling and testing centers without compromising service quality. The Center was established in 1990 in response to widespread public interest in HIV serodiagnosis. By 1996, more than 300,000 clients had been tested. However, 25% of these clients never received their result because of failure to report back to the Center after 2 weeks (the time required for results to be returned from an off-site laboratory) or late arrival of results. To address this problem, the Center evaluated three rapid HIV assays (Sero-Strip, SeroCard, and Capillus) against a standard criterion to identify a testing algorithm that could be used as an on-site confirmatory testing strategy. 325 clients were enrolled in the 5-day evaluation. Individually, all three rapid tests performed well when compared with the standard criterion result. The resulting algorithm (a combination of Capillus as the screening assay and SeroCard as a supplementary assay for initially positive specimens and Multispot as a tie-breaker assay) gave no indeterminate results, was 100% sensitive and specific, and could be integrated easily into existing counseling protocols. The entire process (registration, test decision counseling, phlebotomy, laboratory testing, prevention counseling, and post-test counseling) took an average of 2 hours to complete.
Palabras clave
Acquired Immunodeficiency Syndrome; Africa; Africa South Of The Sahara; Clinic Activities; Clinical Research; Counseling; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Examinations And Diagnoses; Hiv Infections; Hiv Serodiagnosis; Laboratory Examinations And Diagnoses; Laboratory Procedures; Organization And Administration; Program Activities; Programs; Research Methodology; Research Report; Uganda; Viral Diseases
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Algoritmos
/
Anticuerpos Anti-VIH
/
Infecciones por VIH
/
Consejo
/
Servicios de Diagnóstico
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
País/Región como asunto:
Africa
Idioma:
En
Revista:
J Acquir Immune Defic Syndr Hum Retrovirol
Asunto de la revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
/
VIROLOGIA
Año:
1998
Tipo del documento:
Article
Pais de publicación:
Estados Unidos