WHAT IS RAPID HIV TESTING?

A rapid test for detecting antibody to HIV is a screening test that produces results in 5 to 30 minutes. Unlike conventional HIV testing that utilizes a procedure known as an enzyme immunoassay (EIA), rapid HIV testing is simpler, but has about equal sensitivity and specificity in detecting the presence of antibodies to the human immunodeficiency virus type I or II.

In New Jersey, state clinical laboratory licensure is required to conduct rapid HIV testing.

WHAT IS RAPID-RAPID HIV TESTING?

Rapid HIV testing utilizes a single rapid testing device in order to screen whether an individual is infected with HIV. Since 1989,  an additional confirmatory test, either a Western blot, IFA or a nucleic amplification test has been required to diagnose an individual as infected with HIV.

In March 2010, CDC and the Association of Public Health Laboratories (APHL) proposed validation of new algorithms for supplemental testing after a reactive HIV screening test. One of the new algorithms made use of a second, different manufacturer's rapid HIV to verify the results of the initial screen.

Sites With Rapid-Rapid Testing Available

In November, 2011 Irene Hall, Ph.D. announced that new HIV Testing Algorithms including 'Rapid-Rapid' met the current HIV Case Definition and provided instructions for recording a case diagnosed using the new algorithms.
 

 WHAT ARE THE NEW CLSI GUIDELINES ?

New guidelines consistent with new CDC lab and point-of-care based HIV testing algorithms were published in June 2011 by the Clinical and Laboratory Standards Institute (CLSI document: M53-A, ISBN 1-56238-758-8). 

In November, 2011, the Director of Incidence and Case Surveillance at CDC revised surveillance definitions to align them with these new testing algorithms. 

At present, 23 sites in New Jersey utilize a second, different, rapid HIV test to verify the initial rapid HIV screening result in a single screening visit.  An individual who is positive on both rapid HIV tests has less than a .5% probability of not being infected.

After more than 120,000 “Rapid-Rapid” test screenings performed in New Jersey since December, 2008 and more than 1,000 HIV-positive results, we know that less than 1:200 “Presumed Positives” will later be removed from care because of a false positive screening result. 

At many Counseling and Testing Sites in New Jersey two positive, but different rapid HIV tests are sufficient to link an individual immediately into the healthcare system so that they can  meet with a healthcare provider and begin formulating a plan to address their infection

HIV COST AND REIMBURSEMENT

HRET, the Hospital, Research and Education Trust  has developed a free online toolkit for cost and reimbursement issues surrounding HIV testing and screening that is available at
www.hret.org/hiv-cost. The package includes a downloadable calculator to assist hospitals, clinics and physicians in understanding the cost of HIV
testing programs and maximizing reimbursement. The resource was developed in partnership with
the Centers for Disease Control and Prevention.

Please remember that charging for HIV tests provided to a facility by the Division of HIV/AIDS IS NOT permitted!

ANNOUNCEMENTS

Routine Screening for HIV Infection - E. Bresnitz, M.D., M.S.

Centers for Disease Control and Prevention.  Revised Recommendations For HIV Testing of Adults, Adolescents and Pregnant Women in Health-Care Settings.  MMWR 2006:55(RR14):1-1.  Available at:

http://www.cdc.gov/mmwr/PDF/rr/rr5514.pdf

Centers for Disease Control and Prevention.   Rapid HIV Antibody Testing During Labor and Delivery for Women of Unknown HIV Status:  A Practical Guide and Model. 2004

http://www.cdc.gov/hiv/Labor&DeliveryRapidTesting.pdf

PEMS FORM MANUAL

RECENT MEETINGS: PRESENTATIONS

HIV COORDINATOR MEETINGS:

2013

POWERPOINT PRESENTATIONS

Saunders - DHSTS Coordinators Meeting - 2013 - PPT

Saunders - CoordinatorsMeeting - 2013 - PDF

COUNSELING TESTING REFERRAL (CTR)  Data Collection UPDATE - PPT

CTR PRESENATION APRIL 22 2013  Final - PDF

DHSTS 2013 Coordinator Update Laboratory - Cadoff - PPT

DHSTS 2013 Coordinator Update Laboratory - Cadoff - PDF

OTHER MATERIALS From 2013 Meeting:

HIV Counseling and Testing Chart Documentation - PDF

DAP Note Form respect rapid testing rev 3-13-13 - PDF

HIV Testing Progress Note - PDF

NJHIVPOsitive TrackingFormrevisedMarch142013 - PDF

RAPID_HIV_TEST_REPORTFinalFeb262013 - PDF

RapidtoRapidfinalprotocolRevisedFeb262013 - PDF

One day event result form final-4-23-13 - XLS

2012

RTA and Linkage to Care Roll-out - Saunders - 11-16-2012.pdf

Rapid-2-Rapid Rollout 11-16-2012 - MARTIN.pdf

NJ HIV UPDATE - MARTIN et al 3-21-12.pdf

DHSTS UPDATE - CTR DATA Review 3-21-12.pdf

NJ Linkage to Care Flow Chart - DUTTON 3-21-12.pdf

DHSTS ADMIN UPDATE - One Time Events GREGORY 3-21-12.pdf

DHSTS SURVEILLANCE - Surveillance and Reporting 3-2012.pdf

2011

NJ HIV UPDATE - MARTIN et al 4-20-11.pdf

DHSTS UPDATE - 4-20-11

SAGE "HOW TO" - April2011

DAS MOBILE COUNSELOR PILOT

DAS2012 Mobile Counselor Pilot 3-1-2012.pdf

2010

NJ  HIV DHAS Annual Coordinator Meeting 3-05-10

DHAS Presentation Annual Coordinator Meeting 3-05-10

NJ HIV PROCEDURES  &  FORMS

Rapid HIV procedures, forms and policies are freely available for your use.  We invite you to review, copy, print and use our latest procedures, forms and policies!  See POCT Forms

FREQUENTLY CALLED NUMBERS:

Frequently Called Numbers 3192012.pdf

       NEW FORMS:

NJHIVPOsitive TrackingFormrevisedMarch142013 - PDF

RAPID_HIV_TEST_REPORTFinalFeb262013 - PDF

RapidtoRapidfinalprotocolRevisedFeb262013 - PDF

One day event result form final-4-23-13 - XLS

One DayTesting Event Request 4.23.2013

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