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Challenges of Discrepant HIV Tests in Pregnant Women in the PrEP era-to Treat or Not to Treat?
- Source :
-
Journal of Infectious Diseases . 1/15/2021, Vol. 223 Issue 2, p234-237. 4p. - Publication Year :
- 2021
-
Abstract
- <bold>Background: </bold>During HIV retesting in antenatal and preexposure prophylaxis (PrEP) care, discrepant results occur, but guidelines are lacking.<bold>Methods: </bold>In a Kenyan trial implementing antenatal PrEP, if 1 test is reactive, a second is performed; if discrepant, both are repeated; if persistently discrepant, DNA polymerase chain reaction (PCR) is performed.<bold>Results: </bold>Among 4451 women, 23 265 HIV retesting sessions were performed; 14 (0.06%, 95% confidence interval, 0.03%-0.10%) had discrepant results among 10 individuals; in all 10 initial cases, PCR was negative.<bold>Conclusions: </bold>Discrepant rapid tests are an expected, rare, and important challenge for antenatal care HIV retesting, with and without PrEP.<bold>Clinical Trials Registration: </bold>NCT03070600. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PREGNANT women
*CLINICAL trial registries
*HIV
*DNA polymerases
*POLYMERASE chain reaction
*DIAGNOSIS of HIV infections
*COMMUNICABLE disease diagnosis
*HIV prevention
*PREVENTION of communicable diseases
*HIV infections
*ANTI-HIV agents
*COMMUNICABLE diseases
*MEDICAL screening
*PREVENTIVE health services
*HIGHLY active antiretroviral therapy
*PREGNANCY complications
*RESEARCH funding
*PRENATAL care
*DISEASE management
Subjects
Details
- Language :
- English
- ISSN :
- 00221899
- Volume :
- 223
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Infectious Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 148481991
- Full Text :
- https://doi.org/10.1093/infdis/jiaa343