The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018
| Autor: | Anna Avellaneda, Lluís Romero, Jaime Quezadas, Laura Fernàndez-López, Anna Conway, Lorena Andreo, Ander Pazos, Joan Colom, Juliana Reyes-Urueña, Jordi Baroja, Benet Rifà, Jordi Casabona, Adriana Morales, Anna Rafel, Mercè Meroño, Araceli Otón, Anna Lara, Jorge Saz, Rosa Mansilla |
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| Přispěvatelé: | [Fernàndez-López L, Reyes-Ureña J] Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya, Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. Centros de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Spain. [Conway A] The Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain. Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya, Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. [Saz J] BCN Checkpoint, Barcelona, Spain. [Morales A] Stop Sida, Barcelona, Spain. [Quezadas J] Associació Ciutadana Antisida de Catalunya (ACASC), Barcelona, Spain. [Rifà B, Mansilla R] Programa de prevenció, control i atenció al VIH, les ITS i les HV, Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. Secció de Vigilància, Prevenció i Control de les Infeccions de Transmissió Sexual i VIH, Agència de Salut Pública de Catalunya, Departament de Salut, Barcelona, Spain. [Casabona J] Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya, Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain. Centros de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Spain. Department of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain, Departament de Salut |
| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Epidemiology Other subheadings::Other subheadings::/epidemiology [Other subheadings] Infeccions per VIH - Diagnòstic Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Men who have sex with men HIV Testing 0302 clinical medicine statistics and numerical data Other subheadings::/diagnosis [Other subheadings] Pooled data Community Health Services 030212 general & internal medicine enfermedades del sistema inmune::síndromes de inmunodeficiencia::infecciones por VIH [ENFERMEDADES] Community based Surveillance Infeccions per VIH - Epidemiologia - Catalunya Otros calificadores::Otros calificadores::/epidemiología [Otros calificadores] virus diseases Middle Aged testing Point-of-Care Testing Female HIV infections diagnosis prevention and control Adult Catalonia Point-of-care testing 030106 microbiology HIV diagnosis Otros calificadores::/diagnóstico [Otros calificadores] sentinel surveillance Hiv testing Young Adult 03 medical and health sciences Virology Environmental health Cataluña medicine Humans Homosexuality Male early diagnosis Descriptive statistics business.industry Public Health Environmental and Occupational Health Immune System Diseases::Immunologic Deficiency Syndromes::HIV Infections [DISEASES] Early Diagnosis Spain business |
| Zdroj: | Eurosurveillance r-IGTP. Repositorio Institucional de Producción Científica del Instituto de Investigación Germans Trias i Pujol instname Scientia |
| ISSN: | 1560-7917 |
| Popis: | Background Community-based HIV testing services combined with the use of point-of-care tests (POCT) have the potential to improve early diagnosis through increasing availability, accessibility and uptake of HIV testing. Aim To describe community-based HIV testing activity in Catalonia, Spain, from 1995 to 2018, and to evaluate the impact of HIV POCT on the HIV continuum of care. Methods A community-based network of voluntary counselling and testing services in Catalonia, Spain has been collecting systematic data on activity, process and results since 1995. A descriptive analysis was performed on pooled data, describing the data in terms of people tested and reactive screening test results. Results Between 1995 and 2018, 125,876 HIV tests were performed (2.1% reactive). Since the introduction of HIV POCT in 2007, a large increase in the number of tests performed was observed, reaching 14,537 tests alone in 2018 (1.3% reactive). Men who have sex with men (MSM), as a proportion of all people tested, has increased greatly over time reaching 74.7% in 2018. The highest percentage of reactive tests was found in people who inject drugs followed by MSM. The contribution of community-based HIV testing to the overall total notified cases in the Catalonia HIV registry has gradually increased, reaching 37.9% in 2018, and 70% of all MSM cases. In 2018, the percentage of individuals with a reactive screening test who were linked to care was 89.0%. Conclusion Our study reinforces the important role that community-based HIV POCT has on the diagnosis of HIV in key populations. |
| Databáze: | OpenAIRE |
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