{"id":637,"date":"2016-06-06T20:00:15","date_gmt":"2016-06-06T12:00:15","guid":{"rendered":"https:\/\/www.shimclinic.com\/blog\/?p=637"},"modified":"2016-11-17T22:47:54","modified_gmt":"2016-11-17T14:47:54","slug":"france-hiv-self-test-kits-that-gives-results-in-minutes","status":"publish","type":"post","link":"https:\/\/www.shimclinic.com\/blog\/france-hiv-self-test-kits-that-gives-results-in-minutes\/","title":{"rendered":"France: HIV Self-test kits that gives results in minutes"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Approximately 150,000 persons in France are infected with <a title=\"HIV\" href=\"https:\/\/www.shimclinic.com\/singapore\/hiv\">HIV<\/a> and among them, 30,000 do not even know that they are HIV-positive. According to the annual National Health Public Institute reports, about 6500 new cases of HIV are reported every year. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sadly, a significant number of these new cases are only detected in the final advanced stages of HIV lowering the quality of life. <\/span><span style=\"font-weight: 400;\">This has prompted the development of HIV self-tests since 1994 to reduce the number of HIV infection cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite the tests being highly sensitive and specific, their use by the general public is in very low numbers. Rapid <a title=\"HIV Test\" href=\"https:\/\/www.shimclinic.com\/singapore\/hiv-test\">HIV tests<\/a> using either oral fluid or blood samples have been in existence and available at health centers powered by AIDS associations since 2010 but only those who are trained on their use were allowed to use them. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The French Ministry of Social Health and Women&#8217;s Rights in collaboration with various expert committees such as the National AIDS Council were for the idea of selling the HIV self-testing kits to the public after the US Food and Drugs Administration approved them in 2012.<\/span><\/p>\n<h2>Blood Tests more Sensitive than Oral Tests<\/h2>\n<p><span style=\"font-weight: 400;\">It is after these events that a group of researchers in 2013, namely Thierry Prazuck, Stephen Karon, Camelia Gubavu, Jerome Andre, Jean Marie Legall, Elisabeth Bouvet, Georges Kreplak, Jean Paul Teglas, and Gilles Pialoux affiliated to Department of Infectious Diseases, Centre Hospitalier R\u00e9gional, Orl\u00e9ans, HF Prevention, Trappes, Aides, H\u00f4pital Universitaire Bichat Claude Bernard, Centre de Biologie du Chemin Vert (CBCV), INSERM INED, U822, H\u00f4pital Kremlin Bic\u00eatre, Le Kremlin-Bic\u00eatre, and H\u00f4pital Tenon all in France conducted a study on the sensitivity of 5 HIV self-tests approved for home use. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">They concluded that blood tests were more sensitive than oral tests. With this information, the group of researchers performed two studies to evaluate the whole blood finger prick HIV self-tests. This follow-up study included assessing the practicability of the test as well as the ability of the participants in the study to interpret the test results.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The study was done in 2 sections:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Evaluation of the participants&#8217; ability to\u00a0perform the self-test correctly.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Evaluating the ability of the participants of the study to read and interpret the test results correctly.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Those who participated in the study had done so voluntarily and had been\u00a0recruited during a screening program run\u00a0by AIDES and HF-Prevention associated the Anonymous &amp; Free Testing Centre who had the following characteristics:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Were above 18 years<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Were willing to be tested for HIV<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Could easily speak and understand French<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The study was carried out in 2 sub studies:<\/span><\/p>\n<h2>Sub study 1- Usage of the Self-Test<\/h2>\n<p><span style=\"font-weight: 400;\">The participants received the kit that included the test, its accessories and instructions on how to use it. They had the discretion to either perform the test alone or with the assistance of the observer. <\/span> <span style=\"font-weight: 400;\">The participants were not allowed to read their results since only authorized personnel were allowed to use the device at the time. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The observer would take photographs of the test to record the correct or incorrect use of the test.<\/span> <span style=\"font-weight: 400;\">After 15 minutes, the participants would then move to a different room with a trained staff who performed the regular HIV rapid test that included counseling before and after the test.<\/span><\/p>\n<h2>Sub study 2- Reading and Analysis of the Results<\/h2>\n<p><span style=\"font-weight: 400;\">Each participant was shown a bag containing 6 uniform test results comprising of 2 positive, 2 negative and 2 invalid results where the participants had to choose 4, in random, from\u00a0the standardized tests and pen down the results for each test by means of a chart to interpret the results.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Almost all participants (99.2%) used the self-test correctly including those who needed assistance and\u00a0<\/span><span style=\"font-weight: 400;\">98.1% correctly interpreted the test results.<\/span> <span style=\"font-weight: 400;\">The study proves that the self-test is easy to use and understand by the general public.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> The test also provides an alternative to those who do not like testing at health centers for confidentiality purposes. <\/span> <span style=\"font-weight: 400;\">The finger stick blood HIV self-test has been suggested\u00a0to replace\u00a0oral fluid based self-testing in France after the results of this study.<\/span><\/p>\n<h2>Our Conclusion<\/h2>\n<p><span style=\"font-weight: 400;\">The self-test is fast, easy and convenient to use. The test should be introduced in areas that have a high prevalence of HIV and where people are afraid to go for HIV testing and other <a title=\"STD Testing\" href=\"https:\/\/www.shimclinic.com\/singapore\/std-testing\">STD testing<\/a> at <a title=\"STD clinic\" href=\"https:\/\/www.shimclinic.com\/singapore\/std\">STD clinics<\/a> due to the stigma that comes from it.<\/span><\/p>\n<p>Read the study here:<\/p>\n<p><a href=\"http:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0146755\" target=\"_blank\" rel=\"noopener\">http:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0146755<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The use of self-tests that provide results immediately is easy, accurate and increases chances of detecting HIV positive cases at the early stages.<\/p>\n","protected":false},"author":5,"featured_media":678,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[19,73,17],"class_list":["post-637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studies","tag-hiv","tag-hivtest","tag-std"],"_links":{"self":[{"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/posts\/637","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/comments?post=637"}],"version-history":[{"count":5,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/posts\/637\/revisions"}],"predecessor-version":[{"id":679,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/posts\/637\/revisions\/679"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/media\/678"}],"wp:attachment":[{"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/media?parent=637"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/categories?post=637"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.shimclinic.com\/blog\/wp-json\/wp\/v2\/tags?post=637"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}