Patients can accurately perform their own rapid hiv point-of-care test in the emergency department

Samah Nour, Yu-Hsiang Hsieh, Richard Rothman, Mary Jett-Goheen, Ophelia Langhorne, Lan Wu, Stephen Peterson, Charlotte A Gaydos

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: The objective of this study was to evaluate the feasibility, acceptability, and accuracy of having emergency department (ED) patients perform a rapid, point-of-care (POC) self-test for HIV before routine HIV testing. METHODS: Patients aged 18 to 65 years were recruited to perform a rapid POC HIV oral fluid at The Johns Hopkins ED in conjunction with the standard-of-care HIV POC test. Acceptability and ease of use were assessed by a questionnaire. RESULTS: A total of 259 patients were approached for testing, and 249 (96.1%) consented to perform a self POC HIV test. Of patients performing a self-test, 100% had concordant results with those obtained by the health care worker. Four females (1.6%) were newly identified as HIV positive. Median participant age was 41 years, and 58% of patients were female; 83% were African American, and 16% were white. Overall, greater than 90% of patients reported trust of the test results, ease of testing, and willingness to test again. Approximately 35% of patients indicated they would pay up to a maximum price of $30 for testing. Overall, 46.9% of patients preferred self-testing, and 39.5% preferred health care professional testing. Regarding preferred location for testing, 51.0% preferred home self-testing, 39.5% preferred clinic/ED self-testing (P > 0.05), and 9.5% had no preference. CONCLUSIONS: A significant proportion of patients offered POC testing in the ED agreed to perform a self-HIV test. Patients' results were concordant with those obtained by the health care worker; 1.6% were HIV positive. The majority of participants believed the veracity of their results. A greater number of patients preferred self-testing.

Original languageEnglish (US)
Pages (from-to)176-179
Number of pages4
JournalPoint of Care
Volume11
Issue number4
DOIs
StatePublished - Dec 2012

    Fingerprint

Keywords

  • emergency department
  • HIV
  • oral fluid HIV test
  • point-of-care test
  • self-testing

ASJC Scopus subject areas

  • Nursing(all)

Cite this