Field evaluation of five rapid diagnostic tests for screening of HIV-1 infections in rural Rakai, Uganda

被引:33
作者
Kagulire, S. C. [7 ]
Opendi, P. [7 ]
Stamper, P. D. [5 ,6 ]
Nakavuma, J. L. [4 ]
Mills, L. A. [6 ,7 ]
Makumbi, F. [3 ,7 ]
Gray, R. H. [5 ]
Shott, J. P. [1 ,2 ]
Serwadda, D. [3 ]
Reynolds, S. J. [1 ]
机构
[1] NIAID, NIH, Bethesda, MD 20892 USA
[2] NCI, Clin Monitoring Res Program, SAIC Frederick Inc, Frederick, MD 21701 USA
[3] Makerere Univ, Sch Publ Hlth, Kampala, Uganda
[4] Makerere Univ, Fac Vet Med, Kampala, Uganda
[5] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Baltimore, MD USA
[6] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[7] Rakai Hlth Sci Program, Kalisizo, Uganda
基金
美国国家卫生研究院;
关键词
HIV; rapid diagnostic testing; Uganda; point of care tests; resource-poor settings;
D O I
10.1258/ijsa.2009.009352
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The performance characteristics of HIV rapid diagnostic tests (RDTs) vary by test and by population. We assessed five commercial RDTs in Uganda where all but one RDT (Determine; Abbott Laboratories, Germany) performed close to manufacturer's expectations. Determine had low specificity (85.2%, positive predictive value 67.3%) due to false-positive results with weak-positive bands. Properly trained staff, good quality control programmes and validation of RDTs with laboratories having confirmatory testing capacity may be warranted to assure accuracy in each setting.
引用
收藏
页码:308 / 309
页数:2
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