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Point of Care Rapid HIV Testing: Considerations for Service Provision (Essay)

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eBook details

  • Title: Point of Care Rapid HIV Testing: Considerations for Service Provision (Essay)
  • Author : HIV Nursing
  • Release Date : January 22, 2009
  • Genre: Health & Fitness,Books,Health, Mind & Body,
  • Pages : * pages
  • Size : 71 KB

Description

This article aims to provide an outline of the benefits and potential difficulties of setting up a point of care testing (POCT) service for diagnosing HIV infection and suggests the important considerations for policy and practice, including clinical governance issues. In addition to a review of the relevant literature, several existing POCT HIV service providers were interviewed about their experience of setting up a similar service, and they offered substantial advice. The contribution of the following organisations is acknowledged with thanks: Terrence Higgins Trust, London; Body Positive North West, Manchester; Chelsea and Westminster NHS Trust, London; and Tower Hamlets PCT, London. Point of care testing for HIV refers to the practice, undertaken by healthcare professionals, of providing comprehensive HIV counselling and screening for HIV infection, at the point at which an individual accesses healthcare, in conjunction with a confirmatory test where appropriate. Several test kits are available that give a rapid result using blood from a finger prick or venepuncture, or a salivary sample (a specifically designed test kit only) without recourse to a designated laboratory. Results are visible within 1-60 minutes depending on test kit used, and the service user is informed during the same patient episode/appointment. Confirmatory testing is required at an approved laboratory for all patients with a preliminary reactive or equivocal result. POCT requires that pre-and post-test counselling be modified.


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