Open AccessART Initiation for Infants Diagnosed With HIV Through Point of Care and Conventional Polymerase Chain Reaction Testing in Kenya: A Case Series
Author(s) -
Catherine Wexler,
May Maloba,
Kathy Goggin,
Shadrack Babu Kale,
Nicodemus Maosa,
Elizabeth Muchoki,
Melinda Brown,
Brad Gautney,
Sarah Finocchario-Kessler
Publication year - 2021
Publication title -
the pediatric infectious disease journal/the pediatric infectious disease journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.028
H-Index - 140
eISSN - 1532-0987
pISSN - 0891-3668
DOI - 10.1097/inf.0000000000003032
Subject(s) - medicine , point of care testing , point of care ultrasound , disengagement theory , pediatrics , intensive care medicine , nursing , immunology , gerontology , emergency department
We sought to understand the sequence of testing and treatment among nine infants offered both conventional and point-of-care testing and diagnosed as HIV-positive by 6 months of age in Kenya. One infant received per protocol testing and treatment. Patient-level (late presentation and disengagement), provider-level (reluctance and error/oversight) and system-level (stock outs, errors) challenges delayed diagnosis and treatment. Early point-of-care testing can streamline testing; however, challenges mitigate benefits.