Portal de Periódicos da CAPES

Rapid Testing for HIV Antibody: A Technology Whose Time Has Come

1996; American College of Physicians; Volume: 125; Issue: 6 Linguagem: Inglês

10.7326/0003-4819-125-6-199609150-00014

1539-3704

Freya Spielberg,

Adolescent Sexual and Reproductive Health

Editorials15 September 1996Rapid Testing for HIV Antibody: A Technology Whose Time Has ComeFreya Spielberg, MD and William J. Kassler, MD, MPHFreya Spielberg, MDUniversity of Washington Seattle, WA 98195Centers for Disease Control and Prevention, Atlanta, GA 30333Search for more papers by this author and William J. Kassler, MD, MPHUniversity of Washington Seattle, WA 98195Centers for Disease Control and Prevention, Atlanta, GA 30333Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-6-199609150-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The benefits of widespread voluntary testing for human immunodeficiency virus (HIV) have been recognized since 1985, when the first antibody test for HIV became available. Recently, the reasons to promote the early diagnosis of HIV infection have become even more compelling. Research has shown that knowledge of HIV-positive serostatus combined with counseling can facilitate behavioral change [1], allows for partner notification, and may be a valuable tool in the public response to HIV prevention. In addition, mounting evidence shows that early antiretroviral therapy [2] and antibiotic prophylaxis for opportunistic infections [3] can improve the health of HIV-infected persons. Furthermore, knowledge ...References1. Choi KH, Coates TJ. Prevention of HIV infection [Editorial]. AIDS. 1994; 8:1371-89. Google Scholar2. Ho DD. Time to hit HIV, early and hard [Editorial]. N Engl J Med. 1995; 333:450-1. Google Scholar3. Kaplan JE, Masur H, Holmes KK, Wilfert CM, Sperling R, Baker SA, et al. USPHS/IDSA guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus: an overview. USPHS/IDSA Prevention of Opportunistic Infections Working Group. Clin Infect Dis. 1995; 21(Suppl 1):S12-31. Google Scholar4. Peckham C, Gibb D. Mother-to-child transmission of the human immunodeficiency virus. N Engl J Med. 1995; 333:298-302. Google Scholar5. Berrios DG, Hearst N, Coates TJ, Stall R, Hudes ES, Turner H, et al. HIV antibody testing among those at risk for infection. The National AIDS Behavioral Surveys. JAMA. 1993; 270:1576-80. Google Scholar6. Wortley PM, Chu SY, Diaz T, Ward JW, Doyle B, Davidson AJ, et al. HIV testing patterns: where, why, and when were persons with AIDS tested for HIV? AIDS. 1995; 9:487-92. Google Scholar7. Irwin K, Olivo N, Schable CA, Weber JT, Janssen R, Ernst J, et al. Performance characteristics of a rapid HIV antibody assay in a hospital with a high prevalence of HIV infection. Ann Intern Med. 1996; 125:471-5. Google Scholar8. Farnham PG, Gorsky RD, Holtgrave DR, Jones WK, Guinan ME. Counseling and testing for HIV prevention: costs, effects, and cost-effectiveness of more rapid screening tests. Public Health Rep. 1996; 111:44-53. Google Scholar9. Kassler WJ, Haley C, Jones WK, Gerber AR, Kennedy EJ, George JR. Performance of a rapid, on-site human immunodeficiency virus antibody assay in a public health setting. J Clin Microbiol. 1995; 33:2899-902. Google Scholar10. Kelen GD, Bennecoff TA, Kline R, Green GB, Quinn TC. Evaluation of two rapid screening assays for the detection of human immunodeficiency virus-1 infection in emergency department patients. Am J Emerg Med. 1991; 9:416-20. Google Scholar11. Granade TC, Phillips SK, Bharat P, Lee-Thomas S, Pau CP. Rapid detection of antibodies to HIV-1/HIV-2 using a simple, strip-based immunoassay. In: Program and Abstracts Eleventh Annual Conference on Human Retrovirus Testing. Orlando, FL: Eleventh Annual Conference on Human Retrovirus Testing; 1996:20. Google Scholar12. Kassler WJ, Alwano-Edyegu MG, Marurn E, Biryahwaho B, Kataaha P, Dillon B. The performance of a rapid on-site HIV assay in Uganda: results of a field trial. [Abstract] In: Eleventh International Conference on AIDS. Vancouver, Canada: International Conference on AIDS; 1996:4682. Google Scholar13. Spielberg FA, Kabeya CM, Quinn TC, Ryder RW, Kifuani NK, Harris J, et al. Performance and cost-effectiveness of a dual rapid assay system for screening and confirmation of human immunodeficiency virus type 1 seropositivity. J Clin Microbiol. 1990; 28:303-6. Google Scholar14. Mitchell SW, Mboup S, Mingle J, Sambe D, Tukei P, Milenge K, et al. Field evaluation of alternative HIV testing strategy with a rapid immunobinding assay and an agglutination assay. Lancet. 1991; 337:1328-31. Google Scholar15. Schochetman G, George JR. Detection of HIV infection using serological techniques In: Schochetman G, George JR. AIDS Testing: A Comprehensive Guide to Technical, Medical, Social, Legal, and Management Issues. 2nd ed. New York: Springer-Verlag; 1994:62-102. Google Scholar16. Additional recommendations to reduce sexual and drug abuse-related transmission of human T-lymphotropic virus type III/lymphadenopathy-associated virus. MMWR Morb Mortal Wkly Rep. 1986; 35:152-5. Google Scholar17. Interpretation and use of the Western blot assay for serodiagnosis of human immunodeficiency virus type 1 infections. MMWR Morb Mortal Wkly Rep. 1989; 38(Suppl 7):1-7. Google Scholar18. Centers for Disease Control and Prevention. HIV Counseling and Testing in Publicly Funded Sites: 1993-1994 Summary Report. Atlanta: U.S. Department of Health and Human Services; 1996. Google Scholar19. Case-control study of HIV seroconversion in health-care workers after percutaneous exposure to HIV-infected blood—France, United Kingdom, and United States, January 1988-August 1994. MMWR Morb Mortal Wkly Rep. 1995; 44:929-33. Google Scholar20. Perry S, Jacobsberg L, Fishman B. Suicidal ideation and HIV testing. JAMA. 1990; 263:679-82. Google Scholar21. van Haastrecht HJ, Mientjes GH, van den Hoek AJ, Coutinho RA. Death from suicide and overdose among drug injectors after disclosure of first HIV test result. AIDS. 1994; 8:1721-5. Google Scholar22. Kassler WJ, Dillon B, Haley C, Schenk T, Hutcheson D, Jones W, et al. HIV prevention counseling using an on-site, rapid HIV assay [Abstract]. In: Tenth International Conference on AIDS. Yokohama, Japan: International Conference on AIDS; 1994:518B/D. Google Scholar23. Sato PA, Maskill WJ, Tamashiro H, Heymann DL. Strategies for laboratory HIV testing: an examination of alternative approaches not requiring Western blot. Bull World Health Organ. 1994; 72:129-34. Google Scholar24. Starkey CA, Yen-Lieberman B, Proffitt MR. Evaluation of the Recombigen HIV-1 Latex Agglutination Test. J Clin Microbiol. 1990; 28:819-22. Google Scholar Author, Article, and Disclosure InformationAuthors: Freya Spielberg, MD; William J. Kassler, MD, MPHAffiliations: University of Washington Seattle, WA 98195Centers for Disease Control and Prevention, Atlanta, GA 30333Disclaimer: The views expressed in this editorial do not necessarily reflect the views of the Robert Wood Johnson Foundation.Acknowledgment: The authors thank Kevin Crean for his helpful editorial comments.Corresponding Author: Freya Spielberg, MD, Robert Wood Johnson Clinical Scholars Program, University of Washington, 3747 15th Avenue NE, Room 203, Box 355300, Seattle, WA 98195.Current Author Addresses: Dr. Spielberg: Robert Wood Johnson Clinical Scholars Program, University of Washington, 3747 15th Avenue NE, Room 203, Box 355300, Seattle, WA 98195-5300. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPerformance Characteristics of a Rapid HIV Antibody Assay in a Hospital with a High Prevalence of HIV Infection Kathleen Irwin , Noemi Olivo , Charles A. Schable , J. Todd Weber , Robert Janssen , and Jerome Ernst Metrics Cited byAcceptability Study on HIV Self-Testing among Transgender Women, Men who Have Sex with Men, and Female Entertainment Workers in Cambodia: A Qualitative AnalysisDiscriminatory capacity between HIV-1 and HIV-2 of the new rapid confirmation assay GeeniusHuman Immunodeficiency VirusesHIV Testing Near the Patient: Changing the Face of HIV TestingPoint-of-Care Human Immunodeficiency Virus TestingDe mondvloeistof als Diagnostisch hulpmiddelOutcomes of Blood and Oral Fluid Rapid HIV Testing: A Literature Review, 2000–2006User Acceptability and Feasibility of Self-Testing With HIV Rapid TestsFailure to Return for HIV Test Results: A Pilot Study of Three Community Testing SitesHome Collection Versus Publicly Funded HIV Testing in San Francisco: Who Tests Where?Rapid tests for detection of viral markers in blood transfusionField Evaluation of a Rapid Human Immunodeficiency Virus (HIV) Serial Serologic Testing Algorithm for Diagnosis and Differentiation of HIV Type 1 (HIV-1), HIV-2, and Dual HIV-1-HIV-2 Infections in West African Pregnant WomenAssessing missed opportunities for HIV testing in medical settingsHIV Era Occupational Exposures and RisksFrequent Failed Early HIV Detection in a High Prevalence Area: Implications for PreventionWillingness to use instant home HIV testsRapid HIV Testing in Urban Outreach: A Strategy for Improving Posttest Counseling RatesDeciding Where and How to Be Tested for HIV: What Matters Most?Deciding Where and How to Be Tested for HIV: What Matters Most?Laboratory testing for infection with the human immunodeficiency virus: established and novel approachesEmergency department management of blood and body fluid exposuresHome Collection Versus Publicly Funded HIV Testing in San Francisco: Who Tests Where?Home Collection Versus Publicly Funded HIV Testing in San Francisco: Who Tests Where? 15 September 1996Volume 125, Issue 6Page: 509-511KeywordsAntiretroviral therapyEnzyme immunoassayFood and Drug AdministrationHIVHIV infectionsHIV preventionHIV-1PregnancySuicideWestern blot ePublished: 15 August 2000 Issue Published: 15 September 1996 Copyright & PermissionsCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...