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The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018
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Laura Fernàndez-López1,2
, Juliana Reyes-Urueña1,2
, Anna Conway1,3
, Jorge Saz4 , Adriana Morales5 , Jaime Quezadas6 , Jordi Baroja7
, Anna Rafel8 , Ander Pazos9 , Anna Avellaneda10 , Mercè Meroño11 , Lorena Andreo12 , Lluís Romero13 , Anna Lara14 , Araceli Otón15 , Benet Rifà16,17 , Rosa Mansilla16,17 , Joan Colom17 , Jordi Casabona1,2,18
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View Affiliations Hide AffiliationsAffiliations: 1 Centre for Epidemiological Studies on Sexually Transmitted Infections and HIV/AIDS of Catalonia (CEEISCAT), Catalan Health Department, Barcelona, Spain 2 Centros de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Spain 3 The Institute for Health Science Research Germans Trias i Pujol (IGTP), Badalona, Spain 4 BCN Checkpoint, Barcelona, Spain 5 Stop Sida, Barcelona, Spain 6 Associació Ciutadana Antisida de Catalunya (ACASC), Barcelona, Spain 7 Centre Jove d’Atenció a les Sexualitats (CJAS), Barcelona, Spain 8 Associació Antisida de Lleida, Lleida, Spain 9 Gais Positius, Barcelona, Spain 10 Actuavallès, Sabadell, Spain 11 Fundació Àmbit Prevenció, Barcelona, Spain 12 CAS/ARD Lluís Companys, Creu Roja Barcelona, Barcelona, Spain 13 Assexora’Tgn (Associacio Comunitària de Salut Sexual del Camp de Tarragona), Tarragona, Spain 14 Associació Comunitària Anti Sida de Girona (ACAS), Girona, Spain 15 Creu Roja Tarragona, Tarragona, Spain 16 Section for Surveillance, Prevention and Control of Sexually Transmitted Infections and HIV, Public Health Agency of Catalonia, Barcelona, Spain 17 Programme for Prevention, Control and Treatment of HIV, STIs and Viral Hepatitis, Public Health Agency of Catalonia, Barcelona, Spain 18 Department of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine, Universitat Autònoma de Barcelona, Bellaterra, SpainLaura Fernàndez-Lópezlflopez iconcologia.net
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Citation style for this article: Fernàndez-López Laura, Reyes-Urueña Juliana, Conway Anna, Saz Jorge, Morales Adriana, Quezadas Jaime, Baroja Jordi, Rafel Anna, Pazos Ander, Avellaneda Anna, Meroño Mercè, Andreo Lorena, Romero Lluís, Lara Anna, Otón Araceli, Rifà Benet, Mansilla Rosa, Colom Joan, Casabona Jordi. The contribution of HIV point-of-care tests in early HIV diagnosis: community-based HIV testing monitoring in Catalonia, 1995 to 2018. Euro Surveill. 2020;25(43):pii=1900424. https://doi.org/10.2807/1560-7917.ES.2020.25.43.1900424 Received: 28 Jun 2019; Accepted: 25 Mar 2020
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Abstract
Community-based HIV testing services combined with the use of point-of-care tests (POCT) have the potential to improve early diagnosis through increasing availability, accessibility and uptake of HIV testing.
To describe community-based HIV testing activity in Catalonia, Spain, from 1995 to 2018, and to evaluate the impact of HIV POCT on the HIV continuum of care.
A community-based network of voluntary counselling and testing services in Catalonia, Spain has been collecting systematic data on activity, process and results since 1995. A descriptive analysis was performed on pooled data, describing the data in terms of people tested and reactive screening test results.
Between 1995 and 2018, 125,876 HIV tests were performed (2.1% reactive). Since the introduction of HIV POCT in 2007, a large increase in the number of tests performed was observed, reaching 14,537 tests alone in 2018 (1.3% reactive). Men who have sex with men (MSM), as a proportion of all people tested, has increased greatly over time reaching 74.7% in 2018. The highest percentage of reactive tests was found in people who inject drugs followed by MSM. The contribution of community-based HIV testing to the overall total notified cases in the Catalonia HIV registry has gradually increased, reaching 37.9% in 2018, and 70% of all MSM cases. In 2018, the percentage of individuals with a reactive screening test who were linked to care was 89.0%.
Our study reinforces the important role that community-based HIV POCT has on the diagnosis of HIV in key populations.

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