home access hiv 1 test system
Home Testing for HIVW. Steven Pray, PhD, DPh Professor Bernhardt, Products and Non-Prescription DevicesCheap of PharmacySudario Oklahoma State UniversityWeatherford, OklahomaW. Steven Pray, PhD, DPh Gabriel E. Reza, PharmD Candidate College of Pharmacy Southwestern Oklahoma State University Weatherford, Oklahoma Gabriel E. Reza, PharmD Candidato The scourge of HIV/AIDS continues with little relief Look. According to the CDC, it is estimated that 1,148,200 U.S. citizens 13 years and more live with HIV infection, and about 18% of those individuals do not know they are infected.1 In addition, the CDC estimates that 1,129,127 people have been diagnosed with HIV/AIDS in the USA since the epidemic began, giving rise to an estimate of 619,400 Deaths. The incidence of HIV (new infections) is about 50,000 a year, one number that has not risen or dropped in the last few years. 1.2 Epidemiology of HIVGive the fact that medical care resources are limited, CDC developed a strategy to prioritize prevention activities focus on groups where HIV is most common2. The objective is to eliminate disparities by reducing the incidence of those at greater risk. The list of high-risk groups to contract HIV has not changed appreciably since initial investigations. The most important thing is that Big groups of gay men, bisexual men, and all other men who have sex with men (MSM), regardless of race or ethnicity. This group experienced a 12 per cent increase in new HIV infections between 2008 and 2010 (26,700 and 29,800, respectively. While MSM is only 4% of U.S. males contracted 78% of new HIV infections males and 63% of all new infections. 1 Heterosexuals and injecting drug users remain in High risk. Heterosexuals hired 25% of new HIV infections in 2010, and injecting drug users contracted another 8%.1 Race/ethnicity also plays a critical role in the epidemic. Blacks constitute only 14% of the American population, but experienced 44% of new HIV infections in 2010. If current trends continue to exist, CDC estimates that 1 in 16 black men and 1 in 32 black women contract HIV. Hispanics/Latins are also at greater risk. They're inventing 16% of the U.S. population, but experienced 21% of new infections 2010. Latinos are 2.9 times more likely to experience new HIV infection that white men, and Latinas have a risk rate 4.2 times higher than White women. 1 Role of Sexually Transmitted Disease Tests in HIV Prevention The CDC published an information brochure emphasizing the importance of detecting the presence of other sexual transmissions diseases (ETS)3. He explained that people with a Sexually transmitted diseases are 2 to 5 times more likely to acquire or spread HIV infection through sexual contact that those without STDs. This is it. partly due to the fact that certain STDs (e.g., syphilis, herpes, chancroide) cause genital ulcers. They break in the skin or genitourinary mucosa creates an entry portal for HIV. Patients with co-existing HIV and other sexually transmitted diseases are also more likely to shed HIV in their Genital secretions. For example, men with gonorrhea and HIV have a 10 times more HIV in your semen compared to a group without Gonorrhea. CDC highlighted that detecting and treating an existing STD is vital to stop HIV. 3 When should HIV patients be tested? Editor's Note (4/30/13): The United States Preventive Services Task Force (USPSTF) recommends that all adolescents and adults aged 15 to 65 be reviewed for HIV. Pregnant women and any minor or higher at greater risk should also be analyzed. The FDA sought to clarify the question of when to test HIV. 4 The agency explained that each one involved in the behavior that it puts to him or her at risk of HIV should be tested periodically. If it's yours. or your partner commits to such behavior, it is also obligatory to obtain regular tests. The agency then explained the concept of "window period." This is the time between HIV infection and HIV infection produce enough antibody to be detectable. While HIV is being examined tests suggest that people are HIV negative during this window, they are infected, however, and can spread HIV to sexual partners. About us 97% of the infected will develop detectable antibody levels in the first 3 months after infection (the window period), although some patients may take up to 6 months. 4 Choosing HIV Detection Method When patients ask for testing, pharmacists can questioning factors that differentiate current evidence methods. For some patients, anonymity is the main concern. Other wishes to get the result faster. Patients may prefer a test that is not It requires a blood sample. Professional HIV Testing If the patient decides to visit a doctor to submit professional HIV testing, there is no anonymity, as a name should be disclosed before the office makes an appointment. While HIPAA the rules always apply, the doctor will know the condition of the patient, and patients may fear that other staff in that practice who know them and/or its partners(s) will have access to their cards. Patients may know that positive results will be reported to your state health department, as well as other STD results notified.5 Patients may also be worried that if they request a professional test, your insurance company will be notified. The CDC explained that, in general, test laboratories are not obliged to provide results to insurance companies, and can only disclose the results to the "authorised person" (i.e. the patient or the doctor who ordered the test and is responsible for using the results). 5A further issue with professional HIV testing is that immediate results are not possible. If patients want to discover their status so they can make a decision on a next sexual encounter, results may not be available on time to do what is needed decisions and take appropriate precautions. Home Access Test Kits Two products are sold under the HIV-1 test of access to the house System Trade Name (standard and express), which differs in cost and speed with which the patient can get results. The FDA reported that when HIV is present, the test will give a positive result more than 99.9 per cent of cases.6 Similarly, when HIV is not present, the test will give a negative result more than 99.9% of the time. The use steps for both tests are practically identical. 7.8 The patient (he then called "he" for ease of reading) first locates the collection of blood specimens (BSC) and boots its top sheet, which contains a confidential personal access code. Read the Informational Consent Section of the Attached Brochure and Calls the costless number included in the kit (1-800-400-8988) to register your confidential 11-digit code number. Make the call indicates that he has agreed to the informed consent section of the brochure. The Phone call log can be made at any time, 24 hours a day, 7 days a day Week. Counselors are available to talk to patients and respond questions, except on vacation. To collect the blood-stained specimen, the patient places the specimen collection kit on a clean and dry surface in a place where will be uninterrupted for 20 minutes or so. Wash and dry hands with soap and hot water (not hot). The next one discovers an impression circle on the BSC card where the blood specimen will be placed. The Medium fingers or rings are preferred sampling sites. (In a moment, the manufacturer advised against the use of small finger as sufficient blood may not be available.) Choose a puncture site on the soft pad from the fingertips. Qualified areas should be avoided to ensure that proper amount of blood can be collected. 7.8The patient cleans the puncture site with the alcohol pad included in the kit, then hang that hand next to you for 30 seconds and shakes it over and over vigorously for a few seconds to stimulate flow of blood to your fingers. The hand is placed on a table or top with palm up to help avoid unnoticed or Pulling. The lancet included in the kit is maintained between the first and second fingers of the other hand. The patient presses the patient's tip lancet against the target finger, applying constant pressure to ink the skin in the selected location. The thumb is used to depress Lancet trigger, with constant pressure. After the skin is pierced, patient turns hand to allow large drops of blood to collect in the puncture site. Blood flow can be increased using the thumb and first finger of the opposite hand to gently apply pressure to puncture site.7.8The patient then touches a large drop of blood to the circle printed on the BSC card. Additional drops can be placed around the edges of the primary drop to completely fill the circle. He then returns a protective cover to allow you to examine the back of the card, to make sure the blood has soaked completely and filled the behind the circle. If you don't, put more blood on the forehead. the card. Apply an adhesive bandage of the puncture kit site and insert the lancet used in the lancet container included in kit.7.8 To complete the process, the patient writes access to the house Number of code and the date the specimen was collected on the BSC card. The blood stain should dry air for 30 minutes before proceeding further. He then place the BSC card inside the Specimen return bag included in the kit, sealing the bag firmly and placing it in the US mail. about included in the kit for the standard HIV-1 home access test System. If the patient purchased the HIV-1 test from the access to the home System, the sealed sample is placed on the prepaid FedEx envelope scheduled for night shipment. 7.8 The patient may request results after 7 working days with standard test or 1 business day (excluding weekends and holiday) with the most expensive expressive test. The company doesn't have researched use of the product in patients OraQuick In-Home HIV Test Compared to the home access line, OraQuick In-Home HIV Test has several different advantages. 9,10 Allows the user to determine their own status, without any other individual learning of results. Unlike access to home, OraQuick is Saliva-basada. It results faster than any other test. OraQuick it's for those over 17 years old. The patient doesn't eat, he drinks, or use oral care products for 30 minutes before testing. Dentures and dentures Oral appliances are eliminated. The patient then exchanges the test stick once between the teeth and the upper and lower gums. The stick is inserted into a test tube (supplied with kit) for 20 to 40 minutes and read in Home. Positive results must be confirmed by another test. FDA says OraQuick detects HIV 92% of the time when the infection is present, and it gives negative results 99.98% the time HIV is not present. 9,10 PACIENT INFORMATION Who is the highest risk of HIV/AIDS? Unprotected sexual contact (oral, vaginal, rectal) with a partner of both sexes is risky. The largest group of affected persons HIV remains gay and bisexual men, as well as any other man who have sex with men. At least 63% of all new HIV infections occur in this group, with the largest number of new infections in young people Black/African Americans aged 13-24. Approximately 25% again HIV infections occur in heterosexuals and injectable drug use remains a risk factor. Blacks/African Americans and Hispanics/Latins are disproportionately affected. Patients in these Risk groups may wish to test the presence of HIV/AIDS. The Value of Home HIV Tests The Value of Home HIV Tests All high-risk patients should check the presence of HIV HIV. Not being sure of your HIV infection status is of any benefit. On the other hand, discovering that you are HIV positive allows you visit your doctor to begin therapy before. Besides, if you discover that you are HIV positive, you can take the necessary steps protect your sexual partner from HIV as well. HIV Testing at Home Right now, you have two options to detect HIV at home. The products mentioned here are the only home test kits tested effective in HIV detection. You can see ads for other products, especially in unscrupulous Websites, but are not deceived by them. Yeah. wish to know if a particular test is approved by the FDA, search the agency's website (www.fda.gov). Home Access Products: Two. related products are available under that name: Home Access HIV-1 Test System and access to the home HIV-1 test system. With both products, You are obliged to send a sample of your blood to the company. The the tests differ only in the speed with which the results are available. The first 7 business days (excluding Sundays and holidays) after your sample is sent to them, while the version expresses the results are available on the same day the laboratory receives its sample (excluding weekends and holidays). In both cases, the results can be obtained through a phone call, after having provided the confidential code Number found in the package. The standard Home Access test is available online manufacturer for $44, while the express kit costs $59.95. OraQuick: OraQuick is a newly introduced HIV test in the home that differs markedly from the Oldest Home Access products. Use a sample of oral fluid instead of a sample of oral fluid blood to detect HIV. In addition, no shipping is required as the test gives results in your home within 20 to 40 minutes. costs about $39.99 and is available online and in retail pharmacies. Lawyers are available 24 hours a day to answer any questions at the OraQuick Support Center (1-866-436-6527). Additional Information You should always consult your pharmacist if have questions about TBT products as HIV testing at home. Additional information can be obtained by consulting the manufacturers Websites, www.homeaccess.com and www.oraquick.com. Remember, if you have any questions, consult your pharmacist. REFERENCES 1. HIV in the United States: at a glance. CDC. www.cdc.gov/hiv/resources/factsheets/us.htm. Access 22 February 2013. 2. CDC data sheet: estimates of new HIV infections United States, 2006-2009. CDC. www.cdc.gov/nchhstp/newsroom/docs/HIV-Infections-2006-2009.pdf. Access 22 February 2013. 3. HIV Sexually Transmitted Disease Detection and Treatment Function prevention-CDC information sheet. CDC. www.cdc.gov/std/hiv/STDFact-STD-HIV.htm. Access 22 February 2013. 4. HIV testing. FDA. www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/HIVHomeTestKits/ucm126460.htm. Access 22 February 2013. 5. Questions and answers for the general public. CDC. www.cdc.gov/hiv/topics/testing/resources/qa/qa_general-public.htm. Access 22 February 2013. 6. Information on HIV-1 home access examination System. FDA. www.fda.gov/BiologicsBloodVaccines/BloodBloodProducts/ApprovedProducts/PremarketApprovalsPMAs/ucm311903.htm. Access 22 February 2013. 7. HIV-1 test: how it works. Home Access Health Corporation. www.homeaccess.com/HIV_How_Works.asp. Access 22 February 2013. 8. Express HIV-1 test: how it works. Home Access Health Corporación. www.homeaccess.com/ExpressHIV_How_Works.asp. Access 22 February 2013. 9. Information on HIV testing at OraQuick's home. FDA. www.fda.gov/BiologicsBloodVaccines/BloodBloodProducts/ApprovedProducts/PremarketApprovalsPMAs/ucm311895.htm. Access 22 February 2013. 10. OraQuick. OraSure Technologies, Inc. www.oraquick.com. Access 22 February 2013. 11. Herbal treatments and remedies. Food and Agriculture United Nations. www.fao.org/docrep/005/Y4168E/y4168e10.htm. Access 22 February 2013. To comment on this article, contact rdavidson@uspharmacist.com. Related CERelated Full Image
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