Research

ADF fact sheet for applicants

Information on blood-borne viruses and testing requirements for people who wish to join the Australian Defence Force.

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.

Detecting unsuspected HIV infection with a rapid whole-blood HIV test in an urban Emergency Department

Study evaluates and compares HIV screening and provider referred diagnostic testing as strategies for detecting undiagnosed HIV infection in an urban emergency department (ED). Concludes that ED screening detects HIV infection and links to care patients who may not be tested through risk- or symptom-based strategies. The diagnostic yield was higher among provider-referred patients, but screening detected patients earlier in the course of disease.

Detection of Acute HIV Infection: We Can’t Close the Window

Detection of acute HIV Infection: We can’t close the window. Journal of Infectious Diseases 2012;205:521–4. The authors discuss issues around testing for HIV in acute infection. They note reduction in the window period since the early days of HIV testing but state that it has not disappeared. Access to the whole editorial from this website is currently not available.

Evaluation of a training program for device operators in the Australian Government's Point of Care Testing in General Practice Trial: issues and implications for rural and remote practices

A point-of-care testing in the General Practice Trial was underpinned by a quality management framework which included an on-going training and competency program for PoCT device operators. This article describes the design, implementation and results of the training and competency program. Results of the evaluation showed rural and remote practices have a greater need for training and support compared to their urban counterparts and may require more flexible training options to cater for much higher rates of staff turnover.

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.

High rates of undiagnosed infection in gay men in Melbourne

High Rates of Undiagnosed HIV Infections in a Community Sample of Gay Men in Melbourne, Australia. J Acquir Immune Defic Syndr 2012;59:94–99 In this study, Pedrana et al found almost a third of HIV-positive men were unaware of their HIV status,and of these men, a large proportion engaged in high-risk behaviors.

 

HIV Australia. Volume 9 Number 1

Virus in the system: keeping watch on the health of Australia’s prisons This issue of HIV Australia focuses on blood borne viruses (BBVs) and sexually transmissible infections (STIs) within the prison system. Contributors examine surveillance and management of STIs, BBVs and other health issues in Australian correctional facilities, identifying current successes and gaps – particularly in relation to communities that are disproportionately affected.

HIV on the Frontlines of Communities in the U.S. (HIV FOCUS) The Bridge Project Logic Model

This logic model describes a project from the AIDS Foundation of Chicago (AFC) and their key partner agencies - Brothers Health Collaborative (BHC), Beyond Care, MADE and the Chicago Department of Public Health. The project aims to: improve community health planning and population health status, decrease the number of undiagnosed Individuals and the number of late diagnosis of HIV and to ensure more HIV clients are linked to services.

HIV Result Giving. Is it time to change our thinking?

Study assessed the number of patients who returned for HIV test results to Royal Prince Alfred Sexual Health Clinic in Sydney, Australia, and predictors of return. It concludes that the current NSW Health policy is failing to achieve high levels of HIV post-test discussion. For many patients, giving results by telephone may be a more appropriate strategy to ensure HIV post-test discussion.

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 - A Review of Medical Errors in Laboratory Diagnostics

A Review of Medical Errors in Laboratory Diagnostics and Where We Are Today 2012;43(2):41-44. © 2012 American Society for Clinical Pathology Sections: Abstract and Introduction; Quality Standards; Sources of Laboratory Error; Analytical Error; Pre-analytical Error ; Post-analytical Error; Monitoring Errors; Incident Reporting in Laboratory; Diagnostics &Conclusion

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.

Medscape -Factors Associated With Refusal of Rapid HIV Testing in an Emergency Department

Factors Associated With Refusal of Rapid HIV Testing in an Emergency Department. AIDS and Behavior. 2011;15(4):734-742. © 2011 Springer

Mind the gaps

Date: 26 September 2011; Summary: Presentation from David Baker from East Sydney Doctors at the Australasian HIV/AIDS Conference 2011 (23rd Annual ASHM Conference) in Canberra from the 26- 28 September 2011

Mind the Gaps - undiagnosed HIV, lost-to-follow up and undertreated HIV in Australia

Date: 26 September 2011; Summary: Presentation from Mark Stoove from the Centre for Population Health, Burnet Institute Department of Epidemiology and Preventive Medicine, Monash University at the Australasian HIV/AIDS Conference 2011 (23rd Annual ASHM Conference) in Canberra from the 26- 28 September 2011

[12  >>  

 

 ASHM_LOGO_

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