The rise of targeted HIV oral rapid testing in Australia

The Medical Journal of Australia
Derek ChanRobert Finlayson

Abstract

To assess the performance and acceptability of the OraQuick Advance Rapid HIV-1/2 Antibody Test (ORT) in Australia. Cross-sectional study of 1074 men who have sex with men (MSM) and individuals aged 18 years or older at high risk of acquiring HIV infection who attended five public HIV or sexual health services, two general practices and one community clinic in Sydney from 1 January to 31 December 2013. One ORT confirmed by fourth-generation HIV enzyme immunoassay (EIA). ORT sensitivity and specificity compared with EIA; acceptabiity of the ORT to participants. 83.5% of participants were MSM, 90.3% were aged under 50 years, and 9% had never been tested for HIV. There were 11 true-positive ORT results, two false-negative (non-reactive) results (both were early infections), and one false-positive (reactive) result (due to reader error). Sensitivity and specificity were 84.6% and 99.8%, respectively (compared with a sensitivity of 99.3% and specificity of 99.8% listed by the manufacturer). Three quarters of participants (74.0%; 730/987) found the ORT less stressful than venous sampling. Those who usually had tests at intervals of greater than 3 months deemed the ORT less stressful than those who had quarterly tests (77.5% v 64.8%; ...Continue Reading

References

Oct 24, 2002·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Scott E KellermanPascale M Wortley
Jun 10, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Susan H EshlemanJohn Hackett
Apr 15, 2010·AIDS Care·Sean D Young, Eran Bendavid
Aug 30, 2011·Health Education Research·Theo LorencCatriona Lindsay
Sep 21, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Alice MaoMehri McKellar
Jun 8, 2012·Nature Medicine·Cassandra Willyard
Aug 29, 2014·The Medical Journal of Australia·Levinia Crooks, Michael R Kidd

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Citations

Mar 6, 2016·Current Opinion in HIV and AIDS·Md Shah AlamTasnim Azim
Apr 28, 2016·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Anthony J SantellaEugenia Boye-Codjoe
Apr 21, 2017·Australian Journal of Primary Health·Stacy LeidelSonya Girdler
Mar 25, 2019·International Journal of Environmental Research and Public Health·Corie GrayGemma Crawford

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