The Bahamas Ministry of Health/National HIV/AIDS Programme, The Bahamas.
The Bahamas Ministry of Health/National HIV/AIDS Programme, The Bahamas.
J Infect Public Health. 2018 Jan-Feb;11(1):126-129. doi: 10.1016/j.jiph.2017.06.005. Epub 2017 Jul 3.
Initiatives to increase access to quality rapid HIV diagnostics have had relative success in the Caribbean in recent years, including use of oral rapid HIV testing. However, to date, there has not been any investigation into the performance or acceptability of oral fluids HIV testing in the region. In this cross-sectional study in The Bahamas, 252 persons of unknown serostatus were tested side-by-side with two oral rapid test brands, and the results were compared with the national fingerprick algorithm. In addition, an exit survey was administered to 234 study participants to assess user test preference. The most frequent survey response was to have no test preference (47.8%), but of those who expressed a test preference, most preferred oral (34.4%) versus fingerprick (17.8%) method. Both OraQuick and AWARE were 100% concordant with the gold standard. Therefore, our results show that oral fluids rapid testing is preferred over fingerprick testing by a subset of the potential target population and performs well in a population of undiagnosed persons attending screening clinic in The Bahamas.
近年来，加勒比地区在增加获得优质快速艾滋病毒诊断服务方面取得了一定的成功，包括使用口腔快速艾滋病毒检测。然而，迄今为止，该地区尚未对口腔液艾滋病毒检测的性能和可接受性进行任何调查。在巴哈马的这项横断面研究中，252 名血清学状况未知的人同时接受了两种口腔快速检测品牌的检测，并将结果与国家指尖算法进行了比较。此外，还对 234 名研究参与者进行了一项出口调查，以评估用户对检测的偏好。最常见的调查回复是没有检测偏好（47.8%），但在那些表示有检测偏好的人中，大多数人更喜欢口腔（34.4%）而不是指尖（17.8%）方法。OraQuick 和 AWARE 与金标准的一致性均为 100%。因此，我们的研究结果表明，口腔液快速检测在未确诊人群中受到了目标人群的欢迎，并且在巴哈马参加筛查诊所的人群中表现良好。
