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Public health implications of rapid hepatitis C screening with an oral swab for community-based organizations serving high-risk populations

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  • Drobnik, A.
  • Judd, C.
  • Banach, D.
  • Egger, J.
  • Konty, K.
  • Rude, E.

Abstract

Objectives. Between April and September of 2009 we evaluated the accuracy of the OraQuick HCV rapid antibody test and assessed its feasibility for use by community-based organizations (CBOs) serving populations at high risk for HCV in New York City. Methods. We compared the results of screening by OraQuick (oral swab) and enzyme immunoassay (EIA; blood draw). We performed ribonucleic acid polymerase chain reaction testing for discordant results. We also assessed research staff perceptions through a survey and focus group. Results. Overall, 97.5% of OraQuick and EIA results matched. Testing of discordant samples indicated that the rapid test was more likely than the EIA to provide a correct diagnosis. Research staff preferred the rapid test and identified challenges that would be overcome with its use. CBOs could benefit from increased testing capacity, and clients might benefit from more rapid access to education, counseling, and referrals. Conclusions. OraQuick's accuracy is comparable to the EIA. The oral swab rapid test could help HCV screening programs reach individuals unaware of their status and expand testing into nonclinical settings such as mobile units.

Suggested Citation

  • Drobnik, A. & Judd, C. & Banach, D. & Egger, J. & Konty, K. & Rude, E., 2011. "Public health implications of rapid hepatitis C screening with an oral swab for community-based organizations serving high-risk populations," American Journal of Public Health, American Public Health Association, vol. 101(11), pages 2151-2155.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300251_6
    DOI: 10.2105/AJPH.2011.300251
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    Cited by:

    1. Mehnaaz Sultan Khuroo & Naira Sultan Khuroo & Mohammad Sultan Khuroo, 2015. "Diagnostic Accuracy of Point-of-Care Tests for Hepatitis C Virus Infection: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-22, March.
    2. Benjamin P Linas & Devra M Barter & Jared A Leff & Sabrina A Assoumou & Joshua A Salomon & Milton C Weinstein & Arthur Y Kim & Bruce R Schackman, 2014. "The Hepatitis C Cascade of Care: Identifying Priorities to Improve Clinical Outcomes," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-11, May.

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