Performance of Rapid Tests and Algorithms for HIV Screening in Abidjan, Ivory Coast

Performance of Rapid Tests and Algorithms for HIV Screening in Abidjan, Ivory Coast

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Seven rapid diagnosis tests (RDTs) of HIV were evaluated by a panel group who collected serum samples from patients in Abidjan (HIV-1 = 203, HIV-2 = 25, HIV-dual = 25, HIV = 305).Kit performances were recorded after the reference techniques (enzyme-linked immunosorbent assay).The following RDTs showed a sensitivity of 100% and a specificity higher than 99%: Determine, Oraquick, SD Bioline, BCP, and Stat-Pak.These kits were used to establish infection screening strategies.

The combination mesa boogie 4x12 with 2 or 3 of these tests in series or parallel algorithms showed that series combinations with 2 tests (Oraquick and Bioline) and 3 tests (Determine, chevy equinox steering wheel cover BCP, and Stat-Pak) gave the best performances (sensitivity, specificity, positive predictive value, and negative predictive value of 100%).However, the combination with 2 tests appeared to be more onerous than the combination with 3 tests.The combination with Determine, BCP, and Stat-Pak tests serving as a tiebreaker could be an alternative to the HIV/AIDS serological screening in Abidjan.