Evidence map›Paper›PMID 38512642›Full record

ArticleInfection2024

Indicator-condition-guided HIV testing in rural DRC.

Pascal Migaud, Julia Naidenow, Leyli Ghaeni, Kai Hosmann, Jeannine Kaghoma, Justin Kowomba, Valery Lubura, Didier Mabete, Sophie Mvokolo, Hartmut Stocker and 1 more

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Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Pascal MigaudDepartment of Infectious Diseases, St. Joseph Hospital, Wüsthoffstrasse 15, 12101, Berlin, Germany. pascal.migaud@sjk.de.ORCID http://orcid.org/0000-0002-5659-9345
Julia NaidenowDepartment of Infectious Diseases, St. Joseph Hospital, Wüsthoffstrasse 15, 12101, Berlin, Germany.
Leyli GhaeniDepartment of Infectious Diseases, St. Joseph Hospital, Wüsthoffstrasse 15, 12101, Berlin, Germany.
Kai HosmannDepartment of Infectious Diseases, St. Joseph Hospital, Wüsthoffstrasse 15, 12101, Berlin, Germany.
Jeannine KaghomaHôpital Géneral de Référence de Kikwit, Kikwit, Democratic Republic of the Congo.
Justin KowombaHôpital Géneral de Référence de Kikwit, Kikwit, Democratic Republic of the Congo.
Valery LuburaHôpital Géneral de Référence de Kikwit, Kikwit, Democratic Republic of the Congo.
Didier MabeteHôpital Géneral de Référence de Kikwit, Kikwit, Democratic Republic of the Congo.
Sophie MvokoloHôpital Géneral de Référence de Kikwit, Kikwit, Democratic Republic of the Congo.
Hartmut StockerDepartment of Infectious Diseases, St. Joseph Hospital, Wüsthoffstrasse 15, 12101, Berlin, Germany.
Ingo HartlappDepartment of Internal Medicine, Nikolaus- Stiftshospital Andernach, Andernach, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV testing services are a key component of the 95-95-95-0 goals. In many parts of the Democratic Republic of the Congo the availability of test kits is limited for multiple reasons. Targeted testing of patients with HIV indicator conditions is therefore the only feasible option in these settings.

methodsWe introduced an indicator condition-guided HIV testing project in the Emergency Room of the Hôpital Géneral de Référence de Kikwit, DRC.

resultsWe screened 1274 patients for indicator condition. In 94 (7.4%) patients, the treating physician diagnosed at least one HIV indicator. 34 (36.2%) tested HIV-positive (2.7% of screened patients). 52% of the newly diagnosed patients were lost to follow-up two months after the first diagnosis of HIV.

conclusionIn a resource-limited setting with insufficient availability of HIV-Tests, indicator-triggered testing is a useful tool to find a high number of HIV-positive patients. Loss to follow-up is one of the major challenges.

Indexed as

HIV InfectionsHIV TestingRural PopulationAdolescentAdultDemocratic Republic of the CongoFemaleHumansMaleMass ScreeningMiddle AgedYoung AdultHIVIndicator-condition-guided testingLimited resourcesProvider-initiated

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.