Rapid Home-Based Human Immunodeficiency Virus Testing to Reduce Costs in a Large Tuberculosis Cohort Study

Jerome T Galea; Carmen C Contreras; Leonid Lecca; S. Shin; R. Lobatón; Roger Calderón; Megan B Murray; Mercedes C Becerra

doi:10.5588/pha.12.0092

Rapid Home-Based Human Immunodeficiency Virus Testing to Reduce Costs in a Large Tuberculosis Cohort Study

Jerome T Galea, Carmen C Contreras, Leonid Lecca, S. Shin, R. Lobatón, Roger Calderón, Megan B Murray, Mercedes C Becerra

Research output: Contribution to journal › Article › peer-review

Abstract

To reduce costs in a large tuberculosis household contact cohort study in Lima, Peru, we replaced laboratory-based human immunodeficiency virus (HIV) testing with home-based rapid HIV testing. We developed a protocol and training course to prepare staff for the new strategy; these included role-playing for home-based deployment of the Determine® HIV 1/2 Ag/Ac Combo HIV test. Although the rapid HIV test produced more false-positives, the overall cost per participant tested, refusal rate and time to confirmatory HIV testing were lower with the home-based rapid testing strategy compared to the original approach. Rapid testing could be used in similar research or routine care settings.

Original language	American English
Journal	Public Health Action
Volume	3
DOIs	https://doi.org/10.5588/pha.12.0092
State	Published - Jan 1 2013
Externally published	Yes

Keywords

TB
human immunodeficiency virus
rapid testing

Disciplines

Social and Behavioral Sciences
Social Work

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10.5588/pha.12.0092License: CC BY

https://doi.org/10.5588/pha.12.0092

Cite this

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title = "Rapid Home-Based Human Immunodeficiency Virus Testing to Reduce Costs in a Large Tuberculosis Cohort Study",

abstract = " To reduce costs in a large tuberculosis household contact cohort study in Lima, Peru, we replaced laboratory-based human immunodeficiency virus (HIV) testing with home-based rapid HIV testing. We developed a protocol and training course to prepare staff for the new strategy; these included role-playing for home-based deployment of the Determine{\textregistered} HIV 1/2 Ag/Ac Combo HIV test. Although the rapid HIV test produced more false-positives, the overall cost per participant tested, refusal rate and time to confirmatory HIV testing were lower with the home-based rapid testing strategy compared to the original approach. Rapid testing could be used in similar research or routine care settings.",

keywords = "TB, human immunodeficiency virus, rapid testing",

author = "Galea, \{Jerome T\} and Contreras, \{Carmen C\} and Leonid Lecca and S. Shin and R. Lobat{\'o}n and Roger Calder{\'o}n and Murray, \{Megan B\} and Becerra, \{Mercedes C\}",

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language = "American English",

volume = "3",

journal = "Public Health Action",

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T1 - Rapid Home-Based Human Immunodeficiency Virus Testing to Reduce Costs in a Large Tuberculosis Cohort Study

AU - Galea, Jerome T

AU - Contreras, Carmen C

AU - Lecca, Leonid

AU - Shin, S.

AU - Lobatón, R.

AU - Calderón, Roger

AU - Murray, Megan B

AU - Becerra, Mercedes C

PY - 2013/1/1

Y1 - 2013/1/1

N2 - To reduce costs in a large tuberculosis household contact cohort study in Lima, Peru, we replaced laboratory-based human immunodeficiency virus (HIV) testing with home-based rapid HIV testing. We developed a protocol and training course to prepare staff for the new strategy; these included role-playing for home-based deployment of the Determine® HIV 1/2 Ag/Ac Combo HIV test. Although the rapid HIV test produced more false-positives, the overall cost per participant tested, refusal rate and time to confirmatory HIV testing were lower with the home-based rapid testing strategy compared to the original approach. Rapid testing could be used in similar research or routine care settings.

AB - To reduce costs in a large tuberculosis household contact cohort study in Lima, Peru, we replaced laboratory-based human immunodeficiency virus (HIV) testing with home-based rapid HIV testing. We developed a protocol and training course to prepare staff for the new strategy; these included role-playing for home-based deployment of the Determine® HIV 1/2 Ag/Ac Combo HIV test. Although the rapid HIV test produced more false-positives, the overall cost per participant tested, refusal rate and time to confirmatory HIV testing were lower with the home-based rapid testing strategy compared to the original approach. Rapid testing could be used in similar research or routine care settings.

KW - TB

KW - human immunodeficiency virus

KW - rapid testing

UR - https://digitalcommons.usf.edu/sok_facpub/67

UR - https://doi.org/10.5588/pha.12.0092

U2 - 10.5588/pha.12.0092

DO - 10.5588/pha.12.0092

M3 - Article

VL - 3

JO - Public Health Action

JF - Public Health Action

ER -

Rapid Home-Based Human Immunodeficiency Virus Testing to Reduce Costs in a Large Tuberculosis Cohort Study

Abstract

Keywords

Disciplines

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