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Exacto检测HIV自检的分析性能:刚果民主共和国的一项横断面现场研究。

Analytical Performance of the Exacto Test HIV Self-Test: A Cross-Sectional Field Study in the Democratic Republic of the Congo.

作者信息

Tonen-Wolyec Serge, Muwonga Masidi Jérémie, Kamanga Lukusa Luc Ferdinand, Nsiku Dikumbwa Gaetan, Sarassoro Angèle, Bélec Laurent

机构信息

Ecole Doctorale Régionale D'Afrique Centrale en Infectiologie Tropicale, Franceville, Gabon.

Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo.

出版信息

Open Forum Infect Dis. 2020 Nov 29;7(12):ofaa554. doi: 10.1093/ofid/ofaa554. eCollection 2020 Dec.

DOI:10.1093/ofid/ofaa554
PMID:33409330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7759209/
Abstract

The Democratic Republic of the Congo (DRC) has begun implementing HIV self-testing to boost the first "95" of the UNAIDS 95-95-95 targets by 2025. This study aims to assess the performance and usability of the Exacto Test HIV (Biosynex, Strasbourg, France) self-test in the lab and in the field. The Exacto Test HIV self-test demonstrated high virological performance (sensitivity, 99.6%; specificity, 100%) in the lab and in the field in the hand of untrained users (sensitivity, 100%; specificity, 98.9%). Taken together, the excellent performance and usability characteristics of the Exacto Test HIV (Biosynex) self-test make the kit a viable option for HIV self-testing in the DRC.

摘要

刚果民主共和国(DRC)已开始实施艾滋病毒自我检测,以在2025年前推动实现联合国艾滋病规划署95-95-95目标中的首个“95”。本研究旨在评估Exacto Test HIV(法国斯特拉斯堡的Biosynex公司)自我检测在实验室及现场的性能和易用性。Exacto Test HIV自我检测在实验室以及未经培训的使用者现场操作中均表现出较高的病毒学性能(敏感性为99.6%;特异性为100%),现场操作时敏感性为100%,特异性为98.9%。总体而言,Exacto Test HIV(Biosynex)自我检测出色的性能和易用性特点使其成为刚果民主共和国艾滋病毒自我检测的一个可行选择。

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本文引用的文献

1
Field evaluation of capillary blood and oral-fluid HIV self-tests in the Democratic Republic of the Congo.刚果民主共和国的毛细血管血和口服液 HIV 自我检测的现场评估。
PLoS One. 2020 Oct 5;15(10):e0239607. doi: 10.1371/journal.pone.0239607. eCollection 2020.
2
Acceptability, feasibility, and individual preferences of blood-based HIV self-testing in a population-based sample of adolescents in Kisangani, Democratic Republic of the Congo.基于刚果民主共和国基桑加尼的青少年人群的基于血液的 HIV 自我检测的可接受性、可行性和个体偏好。
PLoS One. 2019 Jul 1;14(7):e0218795. doi: 10.1371/journal.pone.0218795. eCollection 2019.
3
Female Sex Workers Often Incorrectly Interpret HIV Self-Test Results in Uganda.乌干达女性性工作者常常错误解读艾滋病毒自检结果。
J Acquir Immune Defic Syndr. 2018 Sep 1;79(1):e42-e45. doi: 10.1097/QAI.0000000000001765.
4
Reliability of HIV rapid diagnostic tests for self-testing compared with testing by health-care workers: a systematic review and meta-analysis.与医护人员检测相比,自我检测用 HIV 快速诊断检测的可靠性:系统评价和荟萃分析。
Lancet HIV. 2018 Jun;5(6):e277-e290. doi: 10.1016/S2352-3018(18)30044-4. Epub 2018 Apr 24.
5
Evaluation of the practicability and virological performance of finger-stick whole-blood HIV self-testing in French-speaking sub-Saharan Africa.在撒哈拉以南非洲法语区评估手指采血全血HIV自我检测的实用性和病毒学性能。
PLoS One. 2018 Jan 10;13(1):e0189475. doi: 10.1371/journal.pone.0189475. eCollection 2018.
6
A Global Review of HIV Self-testing: Themes and Implications.HIV 自我检测的全球综述:主题和意义。
AIDS Behav. 2018 Feb;22(2):497-512. doi: 10.1007/s10461-017-1707-8.
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The uptake and accuracy of oral kits for HIV self-testing in high HIV prevalence setting: a cross-sectional feasibility study in Blantyre, Malawi.在高 HIV 流行地区,口腔试剂盒用于 HIV 自我检测的接受度和准确性:马拉维布兰太尔的一项横断面可行性研究。
PLoS Med. 2011 Oct;8(10):e1001102. doi: 10.1371/journal.pmed.1001102. Epub 2011 Oct 4.