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for HIV, HBV, HCV, & syphillis . Putrajaya: Malaysian Health Technology Assessment (MaHTAS). 2014 Authors' objectives To assess the effectiveness, safety and cost-effectiveness of the rapid blood test device (BPC Labmen 4 in 1 RDT) for HIV, HBV, HCV, & Syphillis for the rapid diagnosis of humanimmunodeficiencyvirus (HIV), hepatitis B (HBV), hepatitis C (HCV), and syphillis. Authors' conclusions There was no retrievable scientific evidence or clinical studies to support the efficacy / effectiveness (...) , safety and cost effectiveness of this rapid blood test device (BPC Labmen 4 in 1 RDT) for HIV, HBV, HCV, & Syphillis for the rapid diagnosis of humanimmunodeficiencyvirus (HIV), hepatitis B (HBV), hepatitis C (HCV), and syphillis. Final publication URL INAHTA brief and checklist INAHTA brief and checklist Indexing Status Subject indexing assigned by CRD MeSH HIV Infections; Hematologic Tests; Hepatitis B; Hepatitis C; Humans Language Published English Country of organisation Malaysia English
Impact of point-of-care CD4 testing on linkage to HIV care: a systematic review. Point-of-care testing for CD4 cell count is considered a promising way of reducing the time to eligibility assessment for antiretroviral therapy (ART) and of increasing retention in care prior to treatment initiation. In this review, we assess the available evidence on the patient and programme impact of point-of-care CD4 testing.We searched nine databases and two conference sites (up until 26 October 2013 (...) ) for studies reporting patient and programme outcomes following the introduction of point-of-care CD4 testing. Where appropriate, results were pooled using random-effects methods.Fifteen studies, mainly from sub-Saharan Africa, were included for review, providing evidence for adults, adolescents, children and pregnant women. Compared to conventional laboratory-based testing, point-of-care CD4 testing increased the likelihood of having CD4 measured [odds ratio (OR) 4.1, 95% CI 3.5-4.9, n=2] and receiving
HIVtesting and counselling for migrant populations living in high-income countries: a systematic review. The barriers to HIVtesting and counselling that migrants encounter can jeopardize proactive HIVtesting that relies on the fact that HIVtesting must be linked to care. We analyse available evidence on HIVtesting and counselling strategies targeting migrants and ethnic minorities in high-income countries.Systematic literature review of the five main databases of articles in English from (...) legal and administrative impediments to accessing HIVtesting-in some countries, undocumented migrants are not entitled to health care-as well as cultural and linguistic barriers, racism and xenophobia. Migrants and ethnic minorities fear stigma from their communities, yet community acceptance is key for well-being.Migrants and ethnic minorities should be offered HIVtesting, but the barriers highlighted in this review may deter programs from achieving the final goal, which is linking migrants
Rapid point-of-care HIVtesting in youth: a systematic review. This review examines the literature surrounding acceptability of, and preference for, rapid point-of-care (POC) humanimmunodeficiencyvirus (HIV) testing in youth, documents notification rates when youth were offered rapid POC testing, and identifies the sociodemographic factors associated with testing.The reviewers searched the scholarly literature indexed in MEDLINE, Embase, CINAHL, and PsycInfo using a set of keywords related (...) to youth and rapid POC HIVtesting. A total of 14 articles were included in the review.Four themes were identified: (1) Youth will accept rapid POC testing, particularly if offered; (2) youth prefer rapid POC testing to traditional testing; (3) youth receive their rapid POC HIVtest results; and (4) older youth and those with HIV risk factors or a concurrent genitourinary diagnosis are more likely to accept rapid POC HIVtesting when it is offered.Evidence shows that youth accept and prefer rapid POC
Clinical uncertainties, health service challenges, and ethical complexities of HIV "test-and-treat": a systematic review. Despite the HIV "test-and-treat" strategy's promise, questions about its clinical rationale, operational feasibility, and ethical appropriateness have led to vigorous debate in the global HIV community. We performed a systematic review of the literature published between January 2009 and May 2012 using PubMed, SCOPUS, Global Health, Web of Science, BIOSIS, Cochrane CENTRAL (...) , EBSCO Africa-Wide Information, and EBSCO CINAHL Plus databases to summarize clinical uncertainties, health service challenges, and ethical complexities that may affect the test-and-treat strategy's success. A thoughtful approach to research and implementation to address clinical and health service questions and meaningful community engagement regarding ethical complexities may bring us closer to safe, feasible, and effective test-and-treat implementation.
Provider-initiated HIVtesting and counseling in low- and middle-income countries: a systematic review. Provider-initiated HIVtesting and counseling (PITC) has expanded since 2007 WHO guidelines were established. We conducted a systematic review of PITC in low- and middle-income countries. Peer-reviewed studies were included if they measured pre-post or multi-arm outcomes. Two coders abstracted data using standardized forms. Nineteen studies were included, all from sub-Saharan Africa (N = 15 (...) ) or Asia (N = 4). Studies were conducted in clinics for antenatal/family planning/child health (N = 12), tuberculosis (N = 4), outpatient (N = 1), sexually transmitted diseases (N = 1), and methadone maintenance (N = 1). HIVtesting uptake increased after PITC. Condom use also increased following PITC in most studies; nevirapine uptake and other outcomes were mixed. Few negative outcomes were identified. Findings support PITC as an important intervention to increase HIVtesting. PITC's impact on other
A systematic review of qualitative findings on factors enabling and deterring uptake of HIVtesting in Sub-Saharan Africa. Despite Sub-Saharan Africa (SSA) being the epicenter of the HIV epidemic, uptake of HIVtesting is not optimal. While qualitative studies have been undertaken to investigate factors influencing uptake of HIVtesting, systematic reviews to provide a more comprehensive understanding are lacking.Using Noblit and Hare's meta-ethnography method, we synthesised published (...) qualitative research to understand factors enabling and deterring uptake of HIVtesting in SSA. We identified 5,686 citations out of which 56 were selected for full text review and synthesised 42 papers from 13 countries using Malpass' notion of first-, second-, and third-order constructs.The predominant factors enabling uptake of HIVtesting are deterioration of physical health and/or death of sexual partner or child. The roll-out of various HIVtesting initiatives such as 'opt-out' provider-initiated
Intervention to increase condom use and HIVtesting among men who have sex with men in China: a meta-analysis. Behavioral interventions have been shown to both promote and change many health-related behaviors and issues. This meta-analysis was performed to assess whether behavioral interventions have the potential to increase condom use and HIVtesting uptake among men who have sex with men (MSM) in China. PubMed, Elsevier Science Direct, Chinese Biomedical Literature Database (CBM), China (...) =1.15-1.60) and HIVtesting (RR=2.22, 95% CI=1.72-2.88). However, no significant increase was detected in condom use over the course of the intervention among MSM engaging in sex with women. In the subgroup analyses, the positive effects were not detected in some subgroups such as anal sex with casual partners and intervention interval less than or equal to 6 months. The sensitivity analysis showed that these estimates were unchanged after removal of the study that had the biggest sample
Retention in care of HIV-infected children from HIVtest to start of antiretroviral therapy: systematic review. In adults it is well documented that there are substantial losses to the programme between HIVtesting and start of antiretroviral therapy (ART). The magnitude and reasons for loss to follow-up and death between HIV diagnosis and start of ART in children are not well defined.We searched the PubMed and EMBASE databases for studies on children followed between HIV diagnosis and start (...) of ART in low-income settings. We examined the proportion of children with a CD4 cell count/percentage after after being diagnosed with HIV infection, the number of treatment-eligible children starting ART and predictors of loss to programme. Data were extracted in duplicate.Eight studies from sub-Saharan Africa and two studies from Asia with a total of 10,741 children were included. Median age ranged from 2.2 to 6.5 years. Between 78.0 and 97.0% of HIV-infected children subsequently had a CD4 cell
Updating the HIV-Testing Guidelines - A Modest Change with Major Consequences. 23425132 2013 03 14 2013 03 07 1533-4406 368 10 2013 Mar 07 The New England journal of medicine N. Engl. J. Med. Updating the HIV-testing guidelines--a modest change with major consequences. 884-6 10.1056/NEJMp1214630 Martin Erika G EG Rockefeller College of Public Affairs and Policy and the Nelson A. Rockefeller Institute of Government, University at Albany-State University of New York, Albany, USA. Schackman Bruce (...) R BR eng Journal Article 2013 02 20 United States N Engl J Med 0255562 0028-4793 AIM IM Adolescent Adult Advisory Committees Aged Early Diagnosis HIV Infections diagnosis Health Care Costs Humans Insurance, Health, Reimbursement economics Mass Screening economics standards Middle Aged Practice Guidelines as Topic United States Young Adult 2013 2 22 6 0 2013 2 22 6 0 2013 3 15 6 0 ppublish 23425132 10.1056/NEJMp1214630
Routine HIVTesting, Public Health, and the USPSTF - An End to the Debate. 23425134 2013 03 14 2013 03 07 1533-4406 368 10 2013 Mar 07 The New England journal of medicine N. Engl. J. Med. Routine HIVtesting, public health, and the USPSTF--an end to the debate. 881-4 10.1056/NEJMp1214535 Bayer Ronald R Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, USA. Oppenheimer Gerald M GM eng Journal (...) Article 2013 02 20 United States N Engl J Med 0255562 0028-4793 AIM IM Advisory Committees Centers for Disease Control and Prevention (U.S.) Early Diagnosis HIV Infections diagnosis Humans Mass Screening standards Practice Guidelines as Topic United States 2013 2 22 6 0 2013 2 22 6 0 2013 3 15 6 0 ppublish 23425134 10.1056/NEJMp1214535
Voluntary counselling and testing plus information distribution to reduce HIV-related risk behaviours among Hong Kong male cross-border truck drivers: a randomised controlled study. 22865223 2013 02 06 2018 12 01 1024-2708 18 Suppl 3 2012 Aug Hong Kong medical journal = Xianggang yi xue za zhi Hong Kong Med J Voluntary counselling and testing plus information distribution to reduce HIV-related risk behaviours among Hong Kong male cross-border truck drivers: a randomised controlled study. 39-41 (...) Lau J T F JT Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China. firstname.lastname@example.org Tsui H Y HY eng Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't China Hong Kong Med J 9512509 1024-2708 IM Adolescent Adult Condoms statistics & numerical data Counseling HIV Infections prevention & control Health Education Health Knowledge
Telephone communication of HIVtesting results for improving knowledge of HIV infection status. This is one of three Cochrane reviews that examine the role of the telephone in HIV/AIDS services. Both in developed and developing countries there is a large proportion of people who do not know they are infected with HIV. Knowledge of one's own HIV serostatus is necessary to access HIV support, care and treatment and to prevent acquisition or further transmission of HIV. Using telephones instead (...) of face-to-face or other means of HIVtest results delivery could lead to more people receiving their HIVtest results.To assess the effectiveness of telephone use for delivery of HIVtest results and post-test counselling.To evaluate the effectiveness of delivering HIVtest results by telephone, we were interested in whether they can increase the proportion of people who receive their HIVtest results and the number of people knowing their HIV status.We searched The Cochrane Central Register
was prescribed in hospital-based HIV outpatient programs in Ontario, prescribing practices were consistent with guidelines established by the U.S. Department of Health and Human Services.(1) Similarly, a study in Vancouver found that less than 5% of people who inject drugs had CD4 monitoring that was consistent with local guidelines.(9) People who inject drugs who were female, of non-Caucasian ethnicity, and use heroin daily were significantly associated with decreased frequency of CD4 cell count testing.(9 (...) Demographic Characteristics Associated with Access to HAART, HIV Care and HIV Viral Load Testing Rapid Review #62: November 2012 Demographic characteristics associated with access to HAART, HIV care and HIV viral load testing Questions 1. In Canada, is access to HAART/ARV therapy associated with demographic characteristics of PHAs? 2. In Canada, is access to HIV viral load testing, or HIV medical care in keeping with established guidelines and standards, associated with demographic
privacy, discretion, confidentiality and anonymity (3;5). for self-testing. 2012. 10. Campbell S, Klein R. Home testing to detect humanimmunodeficiencyvirus: boon or bane? Journal of Clinical Microbiology 2006;44 (10):3473-6. 11. Whellams M. The approval of over- the-counter HIVtesting: Playing fair when making the rules. Journal of Business Ethics 2008;77(1):5-15. 12. Walensky RP, Paltiel AD. Rapid HIVtesting at home: Does it solve a problem or create one? Annals of Internal Medicine 2006;145 (6 (...) Gay Men's Attitudes and Perceptions Regarding Rapid HIV Home Testing Rapid Review #69: June 2013 Gay Men’s Attitudes and Perceptions Regarding Rapid HIV Home Testing Question What are gay men’s attitudes and perceptions regarding rapid HIV home testing? Key Take-Home Messages Rapid HIV home testing could be an effective risk reduction and HIV prevention tool (1). ? A majority of gay men are interested in accessing home testing (2-7). ? Gay men and other men who have sex with men (MSM) cite
/ EMIS_UNGASS_eng.pdf (accessed 17 June 2013). 2011. 30. National Centre in HIV Epidemiolo- gy and Clinical Research. HIV/AIDS, viral hepatitis and sexually trans- missible infections in Australia annual surveillance report 2006. Sydney, NSW: Kirby Institute for Infection and Immunity in Society; 2006. 31. Sanchez T, Finlayson T, Drake A, Behel S, Cribbin M, Dinenno E et al. Humanimmunodeficiencyvirus (HIV) risk, prevention, and testing behaviors--United States, National HIV Behavioral Surveillance Sys- tem: Men (...) Effectiveness of HIVTesting Interventions for High-Risk Populations Rapid Review #71: September 2013 Effectiveness of HIVTesting Interventions for High-Risk Populations Question Which HIVtesting interventions have been shown to be effective for high-risk populations? Key Take-Home Messages ? People infected with HIV who are unaware of their HIV status may be driving the epidemic in high-risk populations.(1) Interventions that promote the uptake of HIVtesting among men who have sex with men
Effect of risk-reduction counseling with rapid HIVtesting on risk of acquiring sexually transmitted infections: the AWARE randomized clinical trial. To increase humanimmunodeficiencyvirus (HIV) testing rates, many institutions and jurisdictions have revised policies to make the testing process rapid, simple, and routine. A major issue for testing scale-up efforts is the effectiveness of HIV risk-reduction counseling, which has historically been an integral part of the HIVtesting process.To (...) for Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum (syphilis), herpes simplex virus 2, and HIV. Women were also tested for Trichomonas vaginalis.There was no significant difference in 6-month composite STI incidence by study group (adjusted risk ratio, 1.12; 95% CI, 0.94-1.33). There were 250 of 2039 incident cases (12.3%) in the counseling group and 226 of 2032 (11.1%) in the information-only group.Risk-reduction counseling in conjunction with a rapid HIVtest did not significantly affect