The Cost of Not Retesting: Human Immunodeficiency Virus Misdiagnosis in the Antiretroviral Therapy “Test-and-Offer” Era
Author(s) -
Jeffrey W. Eaton,
Cheryl Johnson,
Simon Gregson
Publication year - 2017
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cix341
Subject(s) - medicine , antiretroviral therapy , human immunodeficiency virus (hiv) , test (biology) , antiretroviral treatment , sida , diagnostic test , intensive care medicine , pediatrics , virology , viral disease , viral load , paleontology , biology
We compared estimated costs of retesting human immunodeficiency virus (HIV)-positive persons before antiretroviral therapy (ART) initiation to the costs of ART provision to misdiagnosed HIV-negative persons. Savings from averted unnecessary ART costs were greater than retesting costs within 1 year using assumptions representative of HIV testing performance in programmatic settings. Countries should implement re-testing before ART initiation.
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