Point of Care Testing

Analytical goals for point-of-care testing used for diabetes management in Australian health care settings outside the laboratory

This article focuses on setting analytical goals (quality specifications) for the imprecision, bias, and total allowable error of these selected POC tests in the public health environment in Australia. The article reviews published data on analytical goal setting for laboratory tests, considers the factors that set POCT apart from the laboratory, compares laboratory-based analytical goals with state-of-the-art performance, and then sets analytical goals that are designed to be relevant for non laboratory POCT environment.

Evaluation of the Performance Characteristics of 6 Rapid HIV Antibody Tests

Evaluation of the performance characteristics of 6 rapid HIV antibody tests. Clinical Infectious Diseases 2011;52(2):257–263. Delaney and colleagues compare performance characteristics of the Clearview Complete, Clearview STAT-PAK,OraQuick Advance and Multispot HIV-1/2 tests plus the Reveal G3 and Uni-Gold Recombigen HIV-1 tests.

HIV Antibody Testing by Laboratories in NSW

Jurisdiction: NSW Health Date: 2006 The document states current policy on testing for HIV including the changes arising from Medical Benefits Schedule listing of HIV antibody testing in November 2005. Issues covered include the principles for HIV testing, the HIV testing classification, authorisation of laboratories to perform standard testing, reference testing, the role of medical practitioners and registered nurses, confidentiality and payment.

HIV results: practice at public sexual health clinics in New South Wales

New South Wales (NSW) Health guidelines recommend all HIV results be given in person, however this practice fails to achieve high levels of result collection. This paper recommends that NSW guidelines require revision to allow clinicians to determine the most effective and efficient mode of HIV result delivery to their patients.

Medscape - Advances in HIV Testing: What Clinicians Need to Know

CDC Expert Commentary Advances in HIV Testing: What Clinicians Need to Know. Video and written commentary

Medscape - Parsing the Value of HIV At-Home Testing

Dr Paul Sax from Brigham and Women's Hospital and Harvard Medical School, on 13 July 2012, talks about the use of rapid HIV testing on oral fluid at home. At-home testing was approved in the United States in July 2012, by the Food and Drug Administration.

Medscape - Rapid Oral HIV Test Has Disadvantages

Medscape Medical News Rapid Oral HIV Test Has Disadvantages. Commentary on finding by two authors on PPV of rapid oral fluid test for HIV.

Medscape - Replacement of Conventional HIV Testing With Rapid Testing

Replacement of Conventional HIV Testing With Rapid Testing: Mathematical Modelling to Predict the Impact on Further HIV Transmission between Men.  Sex Transm Infect. 2011;87(7):588-593. © 2011 BMJ Publishing Group. Australian data.

Medscape - Willingness to Take a Free Home HIV Test

Willingness to Take a Free Home HIV Test and Associated Factors Among Internet-Using Men Who Have Sex With Men. J Int Assoc Physicians AIDS Care. 2011;10(6):357-364. © 2011 Sage Publications, Inc.

Point-of-care testing of HbA1c and blood glucose in a remote Aboriginal Australian community

This study assessed the accuracy of point-of-care (POC) measurements of capillary blood glucose and glycosylated haemoglobin (H POC capillary HbA1c testing. Result indicate that POC capillary glucose results should be confirmed by a laboratory test of venous plasma if the results are likely to significantly influence clinical decisions.

Rapid HIV tests: guidelines for use in HIV testing and counselling services in resource- constrained settings

This document reviews the characteristics of rapid HIV tests which make them suitable for HIV testing and counselling services and discusses practical aspects of their use. Consideration is given to counselling issues, the advantages of rapid tests and the precautions necessary in using them. Testing algorithms for the use of rapid tests and current WHO recommendations are presented. Although rapid HIV tests have been developed which use saliva and urine, this document concentrates on tests involving the use of whole blood, serum or plasma.

The Analytical Quality of Point-of-Care Testing in the ‘QAAMS’ Model for Diabetes Management in Australian Aboriginal Medical Services

This paper provides updated evidence for the analytical quality of the POCT in the QAAMS Australian Government-funded Quality Assurance for Aboriginal Medical Services Program. The median imprecision for point-of-care (POC) HbA1c and urine ACR quality assurance (QA) testing has continually improved over the past six and half years, stabilising at approximately 3% for both analytes and proving analytically sound in Aboriginal hands.

The Lancet Infectious Diseases - Head-to-head comparison of accuracy of a rapid point-of-care HIV test with oral versus whole-blood specimens: a systematic review and meta-analysis

The Lancet Infectious Diseases, Volume 12, Issue 5, Pages 373 - 380, May 2012 See commentary on Medscape - Rapid Oral HIV Test Has Disadvantages

 

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Development of this site and the 2014 and 2017 revisions of the testing policies was supported by: Australian Government Department of Health and Ageing