Impact of rapid HIV testing on the return rate for routine test results in sexually transmitted infection testing centres

2011 ◽  
Vol 22 (12) ◽  
pp. 757-758 ◽  
Author(s):  
A Cabié ◽  
F Bissuel ◽  
P Huc ◽  
L Paturel ◽  
S Abel
Keyword(s):  
Hiv Testing ◽  
Sexually Transmitted Infection ◽  
Return Rate ◽  
Test Results ◽  
Routine Test ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Rapid Hiv Testing

scholarly journals Results from a Multiple Morbidities Testing Program Offering Rapid HIV Testing Bundled with Hepatitis and Sexually Transmitted Infection Testing

2008 ◽  
Vol 123 (3_suppl) ◽  
pp. 63-69 ◽  
Author(s):  
Grace L. Reynolds ◽  
Dennis G. Fisher ◽  
Lucy E. Napper ◽  
Kimberly A. Marsh ◽  
Christine Willey ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Test Results ◽  
Long Beach ◽  
Transmitted Infection ◽  
Testing Program ◽  
Sexually Transmitted ◽  
Rapid Hiv Testing ◽  
Hiv Test ◽  
Rapid Hiv Test ◽  
Multiple Morbidities

Objectives. Bundling human immunodeficiency virus (HIV) testing with tests for other infectious diseases such as hepatitis C, syphilis, or gonorrhea has been proposed as a method to recruit at-risk individuals into HIV testing. The objectives of this study were to determine ( 1) the types of at-risk clients who choose the rapid vs. standard HIV test when bundled with hepatitis and sexually transmitted infection (STI) tests, and ( 2) whether clients receiving a rapid HIV test are more likely to return on time for hepatitis and STI test results. Methods. We recruited individuals from drug treatment programs, methadone maintenance programs, needle-exchange programs, a community-based agency serving the gay and lesbian community, and the Center for Behavioral Research and Services' office-based testing facility at California State University, Long Beach from January 2005 through November 2007. Results. A total of 2,031 clients from a multiple morbidities testing program in Long Beach, California, were tested between January 2005 and November 2007. For clients receiving hepatitis and STI testing, the majority chose the standard HIV test. Clients who received a rapid HIV test returned in significantly fewer days than clients who received a standard HIV test. Injection drug users and sex traders were more likely to choose the standard HIV test and more likely to fail to return for test results on time. Conclusion. The rapid HIV test, in conjunction with hepatitis and STI tests, results in clients being more likely to return on time for hepatitis and STI results. Public health efforts should focus on acquainting high-risk clients with rapid HIV testing.

scholarly journals 'He said he had been out doing the traffic': general practitioner perceptions of sexually transmitted infection and HIV testing strategies for men

2015 ◽  
Vol 7 (1) ◽  
pp. 50
Author(s):  
Martin Woodbridge ◽  
Anthony Dowell ◽  
Lesley Gray
Keyword(s):  
General Practice ◽  
Sexual Health ◽  
Hiv Testing ◽  
General Practitioners ◽  
Sexually Transmitted Infection ◽  
Health Practitioner ◽  
Structured Interviews ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Testing Strategies

INTRODUCTION: Sexual health is an important component of primary care, and optimal sexually transmitted infection (STI) and HIV testing by doctors could help improve sexual health outcomes for men. Currently, little is known about general practitioners' (GPs') assessment of STI and HIV risk, particularly in relation to male patients, and the degree to which current advice can be translated into consistent testing protocols. The aim of the study was to explore STI and HIV testing strategies for men in general practice and opportunities and barriers to more optimal testing. METHODS: This study used a qualitative, multiple-case methodology, incorporating 17 distinct GP cases, drawing on in-depth, semi-structured interviews, and using thematic analysis. FINDINGS: The following themes were identified: sexual health consultations by men in general practice are usually initiated by the patient; GPs appear to have a consistent rationale for their risk assessments in terms of STI testing; the nature of the doctor's interaction with men influences the quality of sexual health services utilisation; optimal sexual health consultations require sufficient time and a recognition of the 'delicacy' of the consultation content for both patient and health practitioner. CONCLUSION: The stratified testing strategies undertaken by GPs appeared appropriate given the risk profiles of their patients. Constraints to optimal sexual health consultations were identified, including inadequate consultation time, male utilisation of GP consultations, and challenges in discussing sexual health topics within the consultation. Prioritising men's sexual health as a topic in CME may be helpful. KEYWORDS: General practitioners; health communication; HIV; men; sexual health; sexually transmitted infections

scholarly journals 421. Return of Results in Sexually Transmitted Infection Research: The Ethics of Notification and Treatment

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S212-S212
Author(s):  
Joshua C Grubbs ◽  
Cornelis Rietmeijer ◽  
Joseph Millum ◽  
Peter H Kilmarx
Keyword(s):  
Sexually Transmitted Infection ◽  
Specific Treatment ◽  
World Health ◽  
Positive Test ◽  
Return Of Results ◽  
Test Results ◽  
Transmitted Infection ◽  
Prevalence Studies ◽  
Sexually Transmitted ◽  
Study Participants

Abstract Background In prevalence studies of sexually transmitted infections (STI), investigators often provide syndromic management for symptomatic participants, but may provide no specific treatment for asymptomatic individuals with positive test results due to the delays between sample collection and processing. It is unknown how frequently positive test results are returned to participants so that they know to seek treatment. The potential outcome, untreated study participants with documented infection, is concerning given the history of ethical lapses in STI research and the vulnerability of many STI study populations. Methods To characterize the extent of this issue, 82 prevalence studies from the World Health Organization’s (WHO) Report on global sexually transmitted infection surveillance, 2018, were reviewed to determine whether return of test results were reported. Studies were classified as either results returned, unspecified, or other. Publications were coded by country income in accordance with World Bank designations based on the study population’s location(s). Results Nearly half (45%) of the cited studies did not specify if participants were notified of their STI test results. Most study populations (78%) were in lower- and middle-income countries (LMIC) while 20% were in high-income countries (HIC). The remaining 2% of studies screened populations in both LMIC and HIC. Return of results was similar across income groups. Half of papers (50%) in HIC clearly indicated the return of results, whereas 44% were unspecified and one publication (6%) indicated results were not returned due to an unlinked-anonymized testing protocol (other). Results were returned in 53% of studies conducted in LMIC and not specified in 47%. Conclusion A substantial proportion of STI prevalence studies cited in a 2018 WHO report did not specify if participants received their test results. Institutional approval and informed consent are critical, but insufficient for ethical research. Clinically relevant results should be returned to study participants and treating clinicians to ensure appropriate management of identified infections, if not treated during research. This is especially important in STI research in vulnerable populations. Disclosures All authors: No reported disclosures.

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