Assessment of the Accuracy, Usability and Acceptability of a Rapid Test for the Simultaneous Diagnosis of Syphilis and HIV Infection in a Real-Life Scenario in the Amazon Region, Brazil

评估巴西亚马逊地区真实场景中梅毒和 HIV 感染同时诊断快速检测的准确性、可用性和可接受性

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作者:Daniela Cristina Soares, Luciano Chaves Franco Filho, Herald Souza Dos Reis, Yan Corrêa Rodrigues, Felipe Bonfim Freitas, Cintya de Oliveira Souza, Giseli Nogueira Damacena, Nazle Mendonça Collaço Véras, Pamela Cristina Gaspar, Adele Schwartz Benzaken, Joana da Felicidade Ribeiro Favacho, Olinda Mac

Methods

SD BIOLINE HIV/Syphilis Duo Treponemal Test versus FTA-abs (Wama brand) treponemal laboratory test for syphilis, and SD BIOLINE HIV/Syphilis Duo Test versus the fourth generation Genscreen Ultra HIV Ag-Ag (Bio-Rad brand) laboratory test for HIV. From a total of 529 participants, 397 (75.1%) were pregnant women, 76 (14.3%) FSW and 56 (10.6%) MSM. Sensitivity and specificity parameters of HIV were 100.0% (95% CI: 82.35-100.0%) and 100.0% (95% CI: 99.28-100.0%), respectively. Sensitivity and specificity parameters found for TP antibody detection were 95.00% (95% CI: 87.69-98.62%) and 100.0% (95% CI: 98.18-100.0%), respectively. The SD BIOLINE HIV/Syphilis Duo Test showed high acceptability among participants (85.87%) and health professionals (85.51%), as well as easy usability by professionals (91.06%). The usability of the SD BIOLINE HIV/Syphilis Duo Test kit would not be a barrier to accessing rapid testing, if the product were incorporated into the list of health service supplies.

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