Efficacy and acceptability of rapid, point-of-care HIV testing in two clinical settings in Ghana.
Identifieur interne : 000A28 ( Main/Exploration ); précédent : 000A27; suivant : 000A29Efficacy and acceptability of rapid, point-of-care HIV testing in two clinical settings in Ghana.
Auteurs : Lambert Tetteh Appiah [Ghana] ; Fiona Havers ; Jane Gibson ; Michael Kay ; Fred Sarfo ; David ChadwickSource :
- AIDS patient care and STDs [ 1557-7449 ] ; 2009.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Assistance, Facteurs temps, Femelle, Ghana, Humains, Hôpitaux d'enseignement, Infections à VIH (), Infections à VIH (diagnostic), Jeune adulte, Mâle, Programmes volontaires, Services de consultations externes des hôpitaux, Systèmes automatisés lit malade, Sérodiagnostic du SIDA (), Sérodiagnostic du SIDA (psychologie), Tuberculose pulmonaire (), VIH-1 (Virus de l'Immunodéficience Humaine de type 1), Études transversales, Évaluation de programme.
- MESH :
- diagnostic : Infections à VIH.
- psychologie : Sérodiagnostic du SIDA.
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Assistance, Facteurs temps, Femelle, Ghana, Humains, Hôpitaux d'enseignement, Infections à VIH, Jeune adulte, Mâle, Programmes volontaires, Services de consultations externes des hôpitaux, Systèmes automatisés lit malade, Sérodiagnostic du SIDA, Tuberculose pulmonaire, VIH-1 (Virus de l'Immunodéficience Humaine de type 1), Études transversales, Évaluation de programme.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- AIDS Serodiagnosis (psychology), AIDS Serodiagnosis (statistics & numerical data), Adult, Counseling, Cross-Sectional Studies, Female, Ghana, HIV Infections (diagnosis), HIV Infections (prevention & control), HIV-1, Hospitals, Teaching, Humans, Male, Middle Aged, Outpatient Clinics, Hospital, Patient Acceptance of Health Care, Point-of-Care Systems, Program Evaluation, Time Factors, Tuberculosis, Pulmonary (prevention & control), Voluntary Programs, Young Adult.
- MESH :
- geographic : Ghana.
- diagnosis : HIV Infections.
- prevention & control : HIV Infections, Tuberculosis, Pulmonary.
- psychology : AIDS Serodiagnosis.
- statistics & numerical data : AIDS Serodiagnosis.
- Adult, Counseling, Cross-Sectional Studies, Female, HIV-1, Hospitals, Teaching, Humans, Male, Middle Aged, Outpatient Clinics, Hospital, Patient Acceptance of Health Care, Point-of-Care Systems, Program Evaluation, Time Factors, Voluntary Programs, Young Adult.
Abstract
This study assessed the efficacy and acceptability of two rapid point-of-care HIV assays used in a voluntary counseling and testing (VCT) and a tuberculosis (TB) clinic in Kumasi, Ghana. Over a 4-week period in 2007, 95 individuals attending the VCT clinic and 35 patients with newly diagnosed TB were offered a rapid HIV test. Rates of return for positive results and attendance at the HIV clinic were compared with 471 individuals (395 attending the VCT clinic and 76 patients with TB), tested during an 8-week period 6 months earlier using standard testing procedures. All patients offered a rapid test in each clinic underwent testing, compared to 93% of VCT clients and 40% of TB patients offered a test 6 months earlier. In the rapid testing period, 37%, 60%, and 3% of the VCT clients and 26%, 74% and 0% of the TB patients had positive, negative, or indeterminate serology, respectively. There were no discordant results following retesting of patients with a positive test. All patients attending either the VCT or TB clinics who tested positive for HIV with the point-of-care test returned to the HIV clinic for care, while only 64% and 95%, respectively, of the patients previously testing positive had returned for follow-up. Both clients and staff showed high levels of satisfaction with the rapid testing procedure. In conclusion, rapid point-of-care testing in both of these settings was successful in improving diagnosis of HIV infection and engaging those testing positive in a clinical care program.
DOI: 10.1089/apc.2008.0224
PubMed: 19323606
Affiliations:
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Le document en format XML
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M" first="Michael" last="Kay">Michael Kay</name></author><author><name sortKey="Sarfo, Fred" sort="Sarfo, Fred" uniqKey="Sarfo F" first="Fred" last="Sarfo">Fred Sarfo</name></author><author><name sortKey="Chadwick, David" sort="Chadwick, David" uniqKey="Chadwick D" first="David" last="Chadwick">David Chadwick</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19323606</idno><idno type="pmid">19323606</idno><idno type="doi">10.1089/apc.2008.0224</idno><idno type="wicri:Area/PubMed/Corpus">000134</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000134</idno><idno type="wicri:Area/PubMed/Curation">000134</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000134</idno><idno type="wicri:Area/PubMed/Checkpoint">000134</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000134</idno><idno 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sortKey="Havers, Fiona" sort="Havers, Fiona" uniqKey="Havers F" first="Fiona" last="Havers">Fiona Havers</name></author><author><name sortKey="Gibson, Jane" sort="Gibson, Jane" uniqKey="Gibson J" first="Jane" last="Gibson">Jane Gibson</name></author><author><name sortKey="Kay, Michael" sort="Kay, Michael" uniqKey="Kay M" first="Michael" last="Kay">Michael Kay</name></author><author><name sortKey="Sarfo, Fred" sort="Sarfo, Fred" uniqKey="Sarfo F" first="Fred" last="Sarfo">Fred Sarfo</name></author><author><name sortKey="Chadwick, David" sort="Chadwick, David" uniqKey="Chadwick D" first="David" last="Chadwick">David Chadwick</name></author></analytic><series><title level="j">AIDS patient care and STDs</title><idno type="eISSN">1557-7449</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS Serodiagnosis (psychology)</term><term>AIDS Serodiagnosis 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SIDA</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>AIDS Serodiagnosis</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>AIDS Serodiagnosis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Counseling</term><term>Cross-Sectional Studies</term><term>Female</term><term>HIV-1</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Outpatient Clinics, Hospital</term><term>Patient Acceptance of Health Care</term><term>Point-of-Care Systems</term><term>Program Evaluation</term><term>Time Factors</term><term>Voluntary Programs</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Assistance</term><term>Facteurs temps</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Hôpitaux d'enseignement</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Programmes volontaires</term><term>Services de consultations externes des hôpitaux</term><term>Systèmes automatisés lit malade</term><term>Sérodiagnostic du SIDA</term><term>Tuberculose pulmonaire</term><term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term><term>Études transversales</term><term>Évaluation de programme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study assessed the efficacy and acceptability of two rapid point-of-care HIV assays used in a voluntary counseling and testing (VCT) and a tuberculosis (TB) clinic in Kumasi, Ghana. Over a 4-week period in 2007, 95 individuals attending the VCT clinic and 35 patients with newly diagnosed TB were offered a rapid HIV test. Rates of return for positive results and attendance at the HIV clinic were compared with 471 individuals (395 attending the VCT clinic and 76 patients with TB), tested during an 8-week period 6 months earlier using standard testing procedures. All patients offered a rapid test in each clinic underwent testing, compared to 93% of VCT clients and 40% of TB patients offered a test 6 months earlier. In the rapid testing period, 37%, 60%, and 3% of the VCT clients and 26%, 74% and 0% of the TB patients had positive, negative, or indeterminate serology, respectively. There were no discordant results following retesting of patients with a positive test. All patients attending either the VCT or TB clinics who tested positive for HIV with the point-of-care test returned to the HIV clinic for care, while only 64% and 95%, respectively, of the patients previously testing positive had returned for follow-up. Both clients and staff showed high levels of satisfaction with the rapid testing procedure. In conclusion, rapid point-of-care testing in both of these settings was successful in improving diagnosis of HIV infection and engaging those testing positive in a clinical care program.</div></front></TEI><affiliations><list><country><li>Ghana</li></country></list><tree><noCountry><name sortKey="Chadwick, David" sort="Chadwick, David" uniqKey="Chadwick D" first="David" last="Chadwick">David Chadwick</name><name sortKey="Gibson, Jane" sort="Gibson, Jane" uniqKey="Gibson J" first="Jane" last="Gibson">Jane Gibson</name><name sortKey="Havers, Fiona" sort="Havers, Fiona" uniqKey="Havers F" first="Fiona" last="Havers">Fiona Havers</name><name sortKey="Kay, Michael" sort="Kay, Michael" uniqKey="Kay M" first="Michael" last="Kay">Michael Kay</name><name sortKey="Sarfo, Fred" sort="Sarfo, Fred" uniqKey="Sarfo F" first="Fred" last="Sarfo">Fred Sarfo</name></noCountry><country name="Ghana"><noRegion><name sortKey="Appiah, Lambert Tetteh" sort="Appiah, Lambert Tetteh" uniqKey="Appiah L" first="Lambert Tetteh" last="Appiah">Lambert Tetteh Appiah</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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