HIV Rapid Testing

1
HIV Rapid Testing
2
rapid testing

• what are the benefits?
• what are the drawbacks?

3
DSHS philosophy

• appropriate activity
• menu of options

4
so you want to rapid test

• CLIA Certificate
• Quality Assurance Plan
• Plan for Use

5
so you want to rapid test

• venue rationale
• high positivity rate
• low return rate for results (client)
• travel and other logistics
• funds
• if not already earmarked

6
purchasing rapid tests kits

• rapid tests approved for Texas
• OraQuick Advanced
• Trinity UniGold
• Inverness STAT-Pak

7
purchasing rapid tests kits

• local control
• state pricing
• central purchasing

8
procedural-type stuff

• ensure confidential space
• universal precautions
• ensure client readiness to receive result
• a positive is not a positive
• must have confirmatory completed
• encourage confidential
• HARS reporting
• partner elicitation, etc.

9
DSHS concerns and other things to watch out for

• reporting
• syphilis testing
• tighter controls
• RRS ability to provide positive results
• false positives

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staff concerns and other things to watch out for

• setting internal monitoring procedures is time
  consuming
• allotted read times
• window period

11
resources

• DSHS
• todd.logan_at_dshs.state.tx.us
• jenny.mcfarlane_at_dshs.state.tx.us
• your field operations consultant
• [phone]
• Rapid Test company representatives