Sensitivity of Five Rapid HIV Tests on Oral Fluid or Finger-Stick Whole Blood A Real-Time Comparison in a Healthcare Setting 英文参考文献.docVIP
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Sensitivity of Five Rapid HIV Tests on Oral Fluid or Finger-Stick Whole Blood A Real-Time Comparison in a Healthcare Setting 英文参考文献
SensitivityofFiveRapidHIVTestsonOralFluidor
Finger-StickWholeBlood:AReal-TimeComparisonina
HealthcareSetting
JuliettePavie1,AnneRachline1,Be′ne′dicteLoze1,LaurenceNiedbalski1,ConstanceDelaugerre2 ,Eric
Laforgerie3,Jean-ChristophePlantier4,WillyRozenbaum1,SylvieChevret5,Jean-MichelMolina1,
Franc?oisSimon2*
1ServicedesMaladiesInfectieusesetTropicales,Ho?pitalSaint-Louis,Universite′ParisDiderot,Paris,France,2ServicedeMicrobiologie,Ho?pitalSaint-Louis,Universite′Paris
Diderot,Paris,France,3AgenceFranc?aisedeSe′curite′SanitaireetdesProduitsdeSante′,SaintDenis,France,4LaboratoireAssocie′duCentreNationaldeRe′fe′rencesurle
VIH,CHUCharlesNicolle,Rouen,France,5De′partement deBiostatistiqueetInformatiqueMe′dicale,Ho?pitalSaint-Louis,Universite′ ParisDiderot,Paris,France
Abstract
Background: Health authorities in several countries recently recommended the expansion of human immunodeficiency
virus(HIV)antibodytesting,includingtheuseofrapidtests.SeveralHIVrapidtestsarenowlicensedinEuropebuttheir
sensitivityontotalbloodand/ororalfluidinroutinehealthcaresettingsisnotknown.
MethodsandFindings:200adultswithdocumentedHIV-1(n=194)orHIV-2infection(n=6)wereprospectivelyscreened
withfiveHIVrapidtestsusingeitheroralfluid(OF)orfinger-stickwholeblood(FSB).TheOraQuickAdvancerapidHIV1/2H
wasfirstappliedtoOFandthentoFSB,whiletheothertestswereappliedtoFSB,inthefollowingorder:VikiaHIV1/2H,
DetermineHIV1–2H,DetermineHHIV-1/2Ag/AbComboHandINSTIHIV-1/HIV-2H.TestsnegativeonFSBwererepeatedon
pairedserumsamples.TwentyrandomlyselectedHIV-seronegativesubjectsservedascontrols,andtheresultswereread
blindly.MostpatientshadHIV-1subtypeBinfection(63.3%)andmostwereonantiretroviraltherapy(68.5%).Sensitivitywas
86.5%,94.5%,98.5%,94.9%,95.8%and99%respectively,withOraQuickOF,OraQuickFSB,Vikia,Determine,DetermineAg/
AbComboandINSTI(p,0.0001).OraQuickwaslesssensitiveonOFthanonFSB(p=0.008).Amongthesixpatientswith
threeor morenegative tests,two hadrecentHIV infectionand four patients on antiretroviral thera
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