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Rapid point-of-care HIV testing in community-based anonymous testing program: a valuable alternative to conventional
D Guenter1, J Greer, A Barbara
1Deparment of Family Medicine, McMaster University, Hamilton, Ontario, Canada. guentd@mcmaster.ca
AIDS Patient Care and Stds
|February 23, 2008
Summary
Rapid point-of-care (POC) HIV testing is acceptable and improves results delivery. This HIV testing method offers faster results and fewer visits compared to standard lab tests.
Area of Science:
- Public Health
- Infectious Diseases
- Diagnostic Technologies
Background:
- Standard laboratory-based HIV testing can involve delays in receiving results.
- Anonymous HIV testing programs aim to provide accessible and timely diagnostic services.
Purpose of the Study:
- To evaluate the acceptability of rapid point-of-care (POC) whole-blood HIV testing.
- To determine if POC HIV testing increases the rate of receiving test results compared to standard testing.
Main Methods:
- A comparative study offered rapid POC or standard HIV testing to patients at an anonymous testing program.
- Data collected included patient choice, result return rates, and questionnaire feedback from patients and counselors.
- In-depth interviews were conducted with HIV-positive patients.
Main Results:
- 91% of 1610 patients chose rapid POC HIV testing.
- Overall final result return rate increased to 98.9% from 93% in the previous year.
- Rapid testers had significantly higher return rates for results (100% initial, 18/22 positive returned) compared to standard testers (90.8%, p < 0.001).
Conclusions:
- Rapid POC HIV testing is acceptable to patients and counselors, improving test result delivery.
- This method reduces overall time and number of visits required for HIV testing.
- High-quality pre- and post-test counseling is crucial, especially for rapid testers with positive results.

