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Moyo S, Kotokwe K, Mohammed T, Boleo C, Mupfumi L, Chishala S, Gaseitsiwe S, Tsalaile L, Bussmann H, Makhema J, Baum M, Marlink R, Engelbretch S, Essex M, Novitsky V. LOW FALSE RECENT RATE OF LIMITING ANTIGEN AVIDITY ASSAY COMBINED WITH HIV-1 RNA DATA IN BOTSWANA. BMJ Glob Health 2017. [DOI: 10.1136/bmjgh-2016-000260.88] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Moyo S, Kotokwe KP, Mohammed T, Boleo C, Mupfumi L, Chishala S, Tsalaile L, Bussmann H, Gaseitsiwe S, Musonda R, Makhema J, Baum M, Marlink R, Engelbrecht S, Essex M, Novitsky V. Short Communication: Low False Recent Rate of Limiting Antigen-Avidity Assay Combined with HIV-1 RNA Data in Botswana. AIDS Res Hum Retroviruses 2017; 33:17-18. [PMID: 27481530 DOI: 10.1089/aid.2016.0127] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
Cross-sectional estimation of HIV incidence could misclassify some established or chronic HIV infections as recent. Usually long-term nonprogressors, elite and viremic controllers, and individuals on ART contribute to misclassification. Local data on the false recent rate (FRR) could minimize misclassification during estimation of HIV incidence. To improve monitoring of HIV incidence, we estimated local FRR in Botswana. A total of 1,036 specimens from individuals infected for at least 1.5-2 years were sampled between 2004 and 2009 and tested using the limiting antigen (LAg)-avidity assay using a cutoff of 1.5 normalized optical density units. The FRR was 0.97% (10/1,036; 95% confidence interval [CI] 0.46-1.77). Four samples had HIV-1 RNA >1,000 cps/ml, giving an adjusted FRR of 0.39% (4/1,036; 95% CI 0.11-0.99). A combination of LAg and HIV-1 RNA load data resulted in FRR below 1% in the Botswana population.
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Affiliation(s)
- Sikhulile Moyo
- Division of Medical Virology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
- Botswana Harvard AIDS Institute, Gaborone, Botswana
| | | | | | | | - Lucy Mupfumi
- Botswana Harvard AIDS Institute, Gaborone, Botswana
| | - Samuel Chishala
- Division of Medical Virology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
- National Health Laboratory, Ministry of Health, Gaborone, Botswana
| | - Lesedi Tsalaile
- Division of Medical Virology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
| | - Hermann Bussmann
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Simani Gaseitsiwe
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Rosemary Musonda
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Joseph Makhema
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Marianna Baum
- Florida International University, College of Health and Urban Affairs, Miami, Florida
| | - Richard Marlink
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Susan Engelbrecht
- Division of Medical Virology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
- National Health Laboratory Services (NHLS), Tygerberg Coastal, South Africa
| | - Max Essex
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Vladimir Novitsky
- Botswana Harvard AIDS Institute, Gaborone, Botswana
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts
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Mine M, Chishala S, Makhaola K, Tafuma TA, Bolebantswe J, Merrigan MB. Performance of rapid HIV testing by lay counselors in the field during the behavioral and biological surveillance survey among female sex workers and men who have sex with men in Botswana. J Acquir Immune Defic Syndr 2015; 68:365-8. [PMID: 25394190 DOI: 10.1097/qai.0000000000000434] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
: The study assessed the performance of rapid HIV testing with whole blood using Kehua Bio-engineering HIV (1 + 2) and Uni-Gold HIV test kits by trained and certified lay counselors, offered to female sex workers and men who have sex with men during the 2012 survey fieldwork. The results of rapid HIV testing were compared with enzyme-linked immunosorbent assay testing performed in a parallel algorithm at the HIV Reference Laboratory. The sensitivity and the specificity of rapid HIV testing were high for men who have sex with men and female sex workers, with 98.1% and 100%, and 98.2% and 98.5%, respectively. Misclassifications occurred with rapid testing.
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Affiliation(s)
- Madisa Mine
- *Botswana Harvard Reference Laboratory-National Health Laboratory, Gaborone, Botswana; †Department of HIV/AIDS Prevention and Care Ministry of Health, Gaborone, Botswana; and ‡Family Health International 360, Gaborone, Botswana
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