Tests de dépistage rapides du VIH dans des consultations de dépistage anonyme et gratuit aux Antilles

Abstract: Objective: Late screening for HIV is frequent in people living in the French West Indies. Rapid tests (RT) create new opportunities to improve screening for HIV. We evaluated the feasibility and acceptability of RT among users of free and anonymous screening consultations in Fort-de-France and Saint-Martin. Methods: After confirming its reliability on more than 20,000 samples, a RT (Determine HIV-1+2®) was offered on site to all testers in addition to the classic tests. Results: From October2007 to May2008, 373 RT were performed, four were confirmed positive. Results of RT were returned to 99.4% of testers versus 89.4% of persons who underwent additional classic tests. The rate for unclaimed classic tests results was higher for the latter than for persons who had only RT: 22.2% versus 10.6%. Conclusions: Results show that RT improves the proportion of people who are informed of their results. Nevertheless, efforts must be made to persuade patients to come back for results of the standard tests to be informed of a potential sexually transmitted infection or an acute HIV infection. [Copyright &y& Elsevier]