1 / 10

Rapid HIV Testing in NJ

Rapid HIV Testing in NJ. Evan M. Cadoff, M.D. Professor of Pathology and Laboratory Medicine UMDNJ – Robert Wood Johnson Medical School Lab Director, NJHIV rapid testing program. New Jersey Rapid HIV testing Subset of State funded CTS sites 23 agencies (grantees) 117 licensed testing sites

aminia
Download Presentation

Rapid HIV Testing in NJ

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Rapid HIV Testing in NJ Evan M. Cadoff, M.D. Professor of Pathology and Laboratory Medicine UMDNJ – Robert Wood Johnson Medical School Lab Director, NJHIV rapid testing program

  2. New Jersey Rapid HIV testing • Subset of State funded CTS sites • 23 agencies (grantees) • 117 licensed testing sites • 138 trained counselors • 25,000 tests a year (60% oral) • OraQuick since November 2003 10/3/2014

  3. New Jersey rapid HIV testing • 23 agencies (grantees) • 117 licensed testing sites • 138 trained counselors • 25,000 tests a year (60% oral) • OraQuick since November 2003

  4. HIV Testing in New Jersey Rapid HIV Testing Introduced

  5. Specificity • Blood: >99.9 % • Oral: >99.6% • No increase last Fall (as SF and NY) • Not an issue, with 138 counselors at 117 sites

  6. Counseling • FDA proposal does not include a target • Our sites: 99.9% get pre and post test counseling • But funding depends on documenting counseling • Pre rapid testing, and preliminary positive rapid testing: • 66% get post test counseling • Non-scientific review of Obstetric practices: • Virtually no counseling

  7. Counseling false positives • Rare event for trained counselors • Trained counselors uncomfortable and often incorrect • Clinicians may need assistance • Clinicians may need assistance to follow preliminary positives

  8. Counseling • Target should be substantial equivalence to actual current practices, not an artificial higher standard

  9. Phase I professional vs OTC? • False positives due to over sampling • Don’t mention to consumers, or they’ll do it • So don’t repeat Phase I studies • False positives due to high storage temperature • Repeat “flex studies” with higher stress?

  10. Summary • OTC increases knowledge of HIV status • Specificity is not an issue • Evaluation of OTC counseling should be equivalence to typical, not ideal current practice • Re-evaluate “flex studies” for temperature sensitivity

More Related