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Abstract

Background

Community-based HIV testing services combined with the use of point-of-care tests (POCT) have the potential to improve early diagnosis through increasing availability, accessibility and uptake of HIV testing.

Aim

To describe community-based HIV testing activity in Catalonia, Spain, from 1995 to 2018, and to evaluate the impact of HIV POCT on the HIV continuum of care.

Methods

A community-based network of voluntary counselling and testing services in Catalonia, Spain has been collecting systematic data on activity, process and results since 1995. A descriptive analysis was performed on pooled data, describing the data in terms of people tested and reactive screening test results.

Results

Between 1995 and 2018, 125,876 HIV tests were performed (2.1% reactive). Since the introduction of HIV POCT in 2007, a large increase in the number of tests performed was observed, reaching 14,537 tests alone in 2018 (1.3% reactive). Men who have sex with men (MSM), as a proportion of all people tested, has increased greatly over time reaching 74.7% in 2018. The highest percentage of reactive tests was found in people who inject drugs followed by MSM. The contribution of community-based HIV testing to the overall total notified cases in the Catalonia HIV registry has gradually increased, reaching 37.9% in 2018, and 70% of all MSM cases. In 2018, the percentage of individuals with a reactive screening test who were linked to care was 89.0%.

Conclusion

Our study reinforces the important role that community-based HIV POCT has on the diagnosis of HIV in key populations.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
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2020-10-29
2024-11-23
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2020.25.43.1900424
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References

  1. Tavoschi L, Hales D. Monitoring of HIV testing services in the EU/EEA. Euro Surveill. 2016;21(48):30410.  https://doi.org/10.2807/1560-7917.ES.2016.21.48.30410  PMID: 27934584 
  2. World Health Organization (WHO). Consolidated guidelines on person-centred HIV patient monitoring and case surveillance. Geneva: WHO; 2017. Available from: https://www.who.int/hiv/pub/guidelines/person-centred-hiv-monitoring-guidelines/en/
  3. Centre d’Estudis Epidemiològics sobres les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT). Vigilànciaepidemiològica de la infecciópel VIH i la SIDA a Catalunya. Informeanual 2017. [Epidemiological surveillance of HIV and AIDS infection in Catalonia. Annual report 2017]. Badalona: CEEISCAT; 2018. Catalan. Available from: https://canalsalut.gencat.cat/web/.content/_A-Z/S/sida/enllasos/anual_VIH.pdf
  4. Centre d’Estudis Epidemiològics sobres les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT). Epidemiological Report SIVES 2015.Technical document nº22, Integrated Surveillance System for STI and HIV in Catalonia. Badalona; CEEISCAT; 2015. Available from: https://salutpublica.gencat.cat/web/.content/minisite/aspcat/vigilancia_salut_publica/vih-sida-its/05_CEEISCAT/publicacions-cientifiques/informes/SIVES/SIVES_2015/sives2015_ENG.pdf
  5. Fernàndez-Lopez L, Rifà B, Pujol F, Becerra J, Pérez M, Meroño M, et al. Impact of the introduction of rapid HIV testing in the Voluntary Counselling and Testing sites network of Catalonia, Spain. Int J STD AIDS.2010;21(6):388-91.  PMID: 20606218 
  6. Suthar AB, Ford N, Bachanas PJ, Wong VJ, Rajan JS, Saltzman AK, et al. Towards universal voluntary HIV testing and counselling: a systematic review and meta-analysis of community-based approaches. PLoS Med. 2013;10(8):e1001496.  https://doi.org/10.1371/journal.pmed.1001496  PMID: 23966838 
  7. Pottie K, Medu O, Welch V, Dahal GP, Tyndall M, Rader T, et al. Effect of rapid HIV testing on HIV incidence and services in populations at high risk for HIV exposure: an equity-focused systematic review. BMJ Open. 2014;4(12):e006859.  https://doi.org/10.1136/bmjopen-2014-006859  PMID: 25510889 
  8. Fernàndez-LópezL. Reyes-UrueñaJ, AgustíC, KustecT, KlavsI, CasabonaC; COBATEST Network group. The COBATEST network: a platform to perform monitoring and evaluation of HIV community-based testing practices in Europe and conduct operational research. AIDS Care. 2016;28(February) Suppl 1;32-6. . Available from: http://www.tandfonline.com/doi/full/10.1080/09540121.2016.1146218
  9. Fernàndez-LópezL. Reyes-UrueñaJ, AgustíC, KustecT, SerdtM, KlavsI, et al.The COBATEST network: monitoring and evaluation of HIV community-based practices in Europe, 2014-2016.HIV Med. 2018;19(Suppl 1):21-6. PMID: 29488701 
  10. European Centre for Disease Prevention and Control (ECDC). Thematic report: continuum of HIV care. Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2017 progress report. Stockholm: ECDC; 2017: Available from: https://www.ecdc.europa.eu/sites/default/files/documents/Continuum-of-HIV-care-2017.pdf
  11. Sulat JS, Prabandari YS, Sanusi R, Hapsari ED, Santoso B. The impacts of community-based HIV testing and counselling on testing uptake. J Heal Res.2018;32(2):152-63.  https://doi.org/10.1108/JHR-01-2018-015 
  12. Cohen MS, Chen YQ. McCauleyM, GambleT, HosseinipourMC, KumarasamyN, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493-505.  PMID: 21767103 
  13. Sullivan AK, Sperle I, Raben D, Amato-Gauci AJ, Lundgren JD, Yazdanpanah Y, et al. HIV testing in Europe: Evaluating the impact, added value, relevance and usability of the European Centre for Disease Prevention and Control (ECDC)'s 2010 HIV testing guidance. Euro Surveill. 2017;22(48):17-00323.  PMID: 29208158 
  14. Fernàndez-López L, Reyes-Urueña J, Agustí C, Kustec T, Serdt M, Klavs I, et al. The COBATEST network: monitoring and evaluation of HIV community-based practices in Europe, 2014-2016.HIV Med. 2018;19(Suppl 1):21-6.  PMID: 29488701 
  15. HIV-COBATEST Project. Core indicators to monitor community based voluntary counselling and testing (CBVCT) for HIV Guidelines for CBVCT services. Field-test version. 2012. Available from: https://eurohivedat.eu/arxius/ehe_cdocsmenu_cdocsmenu_doc_3-CBVCT_core_indicators_field_test_version.pdf
  16. Joint United Nations Programme on HIV/AIDS (UNAIDS). Global AIDS Response progress reporting: monitoring the 2011 political declaration on HIV/AIDS: guidelines on construction of core indicators: 2012 reporting. Geneva: UNAIDS; 2011. Available from: https://unaids-test.unaids.org/sites/default/files/unaids/contentassets/documents/document/2011/JC2215_Global_AIDS_Response_Progress_Reporting_en.pdf
  17. World Health Organization (WHO). Guide for monitoring and evaluating national HIV testing and counselling (HTC) programmes: field-test version. Geneva: WHO; 2011.Available from: https://apps.who.int/iris/bitstream/handle/10665/44558/9789241501347_eng.pdf;jsessionid=2ADC244F085B39203050FA5C20C1A9FE?sequence=1
  18. European Centre for Disease Prevention and Control (ECDC). Implementing the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2010 progress Report. Stockholm: ECDC; 2010. Available from: https://www.ecdc.europa.eu/sites/default/files/media/en/publications/Publications/100720_implementing_dublic_declaration_hiv_aids_2010_progress_report.pdf
  19. Abbott. ALERE Determine HIV-1/2 package insert. 2011. [Accessed: 23 Jan 2020]. Available from: https://www.globalpointofcare.abbott/en/product-details/determine-hiv-1-2.html
  20. Mayhood MK, Afwamba IA, Odhiambo CO, Ndanu E, Thielman NM, Morrissey AB, et al. Validation, performance under field conditions, and cost-effectiveness of Capillus HIV-1/HIV-2 and determine HIV-1/2 rapid human immunodeficiency virus antibody assays using sequential and parallel testing algorithms in Tanzania. J Clin Microbiol. 2008;46(12):3946-51.  https://doi.org/10.1128/JCM.01045-08  PMID: 18923015 
  21. Abbott. Alere Determine HIV-1/2 Ag/Ab Combo Serum / Plasma Procedure Product Demo (English). Scarborough: Abbott; 2019. [Accessed: 23 Jan 2020]. Available from: https://www.globalpointofcare.abbott/en/product-details/determine-1-2-ag-ab-combo.html.
  22. Carlberg C. More predictive analytics: Microsoft Excel.Indianapolis: QUE; 2016.
  23. Dahl A. Optimal linkage to care among MSM: a practical guide for CBVCT’s and points of care. Barcelona: Euro HIV EDAT; 2017. Available from: https://eurohivedat.eu/arxius/ehe_docsmenu_docsmenu_doc_128-20131101_D05_00_OTH_1_EN_PS.pdf
  24. Branson BM. Point-of-Care Rapid Tests for HIV Antibodies. PatientennaheSchnelltests fur den Nachweis von HIV-Antikorpern. Lab Med. 2003;27(7-8):288-95. Available from: http://doi.wiley.com/10.1046/j.1439-0477.2003.03049.x
  25. Peeling RW, Holmes KK, Mabey D, Ronald A. Rapid tests for sexually transmitted infections (STIs): the way forward. Sex Transm Infect. 2006;82(Suppl 5):v1-6.  https://doi.org/10.1136/sti.2006.024265  PMID: 17151023 
  26. Conway DP, Guy R, Davies SC, Couldwell DL, McNulty A, Smith DE, et al. Rapid HIV testing is highly acceptable and preferred among high-risk gay and bisexual men after implementation in Sydney sexual health clinics. New South Wales. 2015.
  27. Conway DP, Guy R, McNulty A, Couldwell DL, Davies SC, Smith DE, et al. Effect of testing experience and profession on provider acceptability of rapid HIV testing after implementation in public sexual health clinics in Sydney. HIV Med. 2015;16(5):280-7.  PMID: 25604470 
  28. Reyes-Urueña JM, Campbell CNJ, Vives N, Esteve A, Ambrosioni J, Tural C, et al. Estimating the HIV undiagnosed population in Catalonia, Spain: descriptive and comparative data analysis to identify differences in MSM stratified by migrant and Spanish-born population. BMJ Open. 2018;8(2):e018533.  PMID: 29490955 
  29. Fernàndez-López L, Folch C, Majó X, Gasulla L, Casabona J, Fernandez-LopezL. Implementation of rapid HIV and HCV testing within harm reduction programmes for people who inject drugs: a pilot study. AIDS Care. 2016;28(6):712-6.  https://doi.org/10.1080/09540121.2016.1164290  PMID: 27007000 
  30. Croxford S, Yin Z, Burns F, Copas A, Town K, Desai S, et al. Linkage to HIV care following diagnosis in the WHO European Region: A systematic review and meta-analysis, 2006-2017. PLoS One. 2018;13(2):e0192403. . Available from: http://www.ncbi.nlm.nih.gov/pubmed/29451875 https://doi.org/10.1371/journal.pone.0192403  PMID: 29451875 
  31. Meulbroek M, Dalmau-Bueno A, Pujol F. Adjusted criteria for point-of-care HIV-RNA testing leads to improved detection of acute HIV infection. HIV Research for Prevention (HIVR4P) 2018; 21–25 October 2018, Madrid, Spain. Abstract P0603.
  32. Ogaz D, Miltz AR, Desai S, Saunders J, Charlett A, Gill ON, et al. Preparing for PrEP in England: Prevalence and incidence of HIV and bacterial STIs. Conference on Retroviruses and Opportunistic Infections (CROI); 4–7 March 2019, Seattle, United States. Abstract 48. Available from: http://www.croiconference.org/sessions/preparing-prep-england-prevalence-and-incidence-hiv-and-bacterial-stis
  33. Nwokolo N, Hill A, McOwan A, Pozniak A. Rapidly declining HIV infection in MSM in central London. Lancet HIV. 2017;4(11):e482-3.  https://doi.org/10.1016/S2352-3018(17)30181-9  PMID: 29066095 
  34. Reyes-Urueña J, Montoliu A, Bruguera A, Miró JM, Podzamczer D, Domingo P, et al. Impact of universal treatment on the dynamics of viral load, Catalonia and the Balearic Islands. PISCIS cohort. 23rd International Workshop on HIV and Hepatitis Observational Databases (IWHOD). 28–30 March 2019, Athens, Greece. Available from: https://www.researchgate.net/project/PISCIS-Cohort/update/5c9ce9183843b0342433f9af.
  35. Rocha M, Pujol Roca F, SazBerges J, Chanos S, Polkas G, Mattioli S, et al. High contribution, low public funding: Southern European Checkpoints’ role in HIV detection in 4 countries. HepHIV2019 Bucharest Conference: Challenges of Timely and Integrated Testing and Care; 28–30 January 2019, Bucharest, Romania. Available from: https://www.eurotest.org/Portals/0/PS1_1_High%20contribution%2C%20low%20public%20funding%20Southern%20European%20Checkpoints%27%20role%20in%20HIV%20detection%20in%204%20countries.pdf
The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Laura+Fern%C3%A0ndez-L%C3%B3pez&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Fernàndez-López Laura</a>, <a href="/search?value1=Juliana+Reyes-Urue%C3%B1a&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Reyes-Urueña Juliana</a>, <a href="/search?value1=Anna+Conway&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Conway Anna</a>, <a href="/search?value1=Jorge+Saz&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Saz Jorge</a>, <a href="/search?value1=Adriana+Morales&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Morales Adriana</a>, <a href="/search?value1=Jaime+Quezadas&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Quezadas Jaime</a>, <a href="/search?value1=Jordi+Baroja&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Baroja Jordi</a>, <a href="/search?value1=Anna+Rafel&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rafel Anna</a>, <a href="/search?value1=Ander+Pazos&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pazos Ander</a>, <a href="/search?value1=Anna+Avellaneda&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Avellaneda Anna</a>, <a href="/search?value1=Merc%C3%A8+Mero%C3%B1o&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Meroño Mercè</a>, <a href="/search?value1=Lorena+Andreo&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Andreo Lorena</a>, <a href="/search?value1=Llu%C3%ADs+Romero&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Romero Lluís</a>, <a href="/search?value1=Anna+Lara&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lara Anna</a>, <a href="/search?value1=Araceli+Ot%C3%B3n&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Otón Araceli</a>, <a href="/search?value1=Benet+Rif%C3%A0&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rifà Benet</a>, <a href="/search?value1=Rosa+Mansilla&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mansilla Rosa</a>, <a href="/search?value1=Joan+Colom&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Colom Joan</a>, <a href="/search?value1=Jordi+Casabona&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Casabona Jordi</a></span>. The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018. <a href="/content/ecdc">Euro Surveill.</a> 2020;25(43):pii=1900424. <a href="https://doi.org/10.2807/1560-7917.ES.2020.25.43.1900424" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2020.25.43.1900424</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 28 Jun 2019;&nbsp;&nbsp; <span class="generated">Accepted</span>: 25 Mar 2020 </span> </p>
/content/10.2807/1560-7917.ES.2020.25.43.1900424
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