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Implementation of rapid HIV and HCV testing within harm reduction programmes for people who inject drugs: a pilot study

机译：在减毒计划中为注射毒品者实施快速的HIV和HCV检测：一项试点研究

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Including HCV and HIV rapid tests in harm reduction programmes (HRP) for people who inject drugs (PWID) can increase detection of these infections in high-risk populations who do not seek conventional health care. Aims: To assess acceptability and feasibility of rapid HIV and HCV tests in HRP; to identify HIV and HCV prevalence rates in HRP; to identify the percentage of PWID with a reactive test that attend hospital for confirmation and follow-up. Rapid oral tests for HCV and HIV were offered to users of 13 HRP from both mobile units and facility-based centres. A total of 172 HCV and 198 HIV tests were performed, with a refusal rate of 1.7% and 10.4%, respectively. Injectors made up 64.9% of all drug users and 35.1% did not inject drugs. Overall, 20.3% of HCV tests and 2.5% of HIV test were reactive. Only 24 of the 35 reactive HCV could be confirmed (68.6%) and one was false-negative. Of the five HIV reactive cases, only two could be confirmed (40%) with 1 false-positive case. Acceptability of rapid HIV and HCV tests among HRP users was high. The usefulness of oral rapid tests in HRP has been demonstrated, especially in mobile HRP.
机译：在减少危害计划（HRP）中将HCV和HIV快速测试纳入针对注射毒品（PWID）的人群中，可以提高在不寻求常规医疗保健的高风险人群中发现这些感染的机会。目的：评估HRP中快速HIV和HCV检测的可接受性和可行性;确定HRP中的HIV和HCV流行率;通过反应性测试来确定PWID的百分比，该反应会进入医院进行确认和随访。流动单位和设施中心的13种HRP的使用者都进行了快速的HCV和HIV口服测试。总共进行了172次HCV和198次HIV测试，拒绝率分别为1.7％和10.4％。在所有吸毒者中，注射者占64.9％，未注射药物的占35.1％。总体而言，有20.3％的HCV测试和2.5％的HIV测试是反应性的。 35例反应性HCV中只有24例可以确诊（68.6％），而假阴性则为1例。在5例艾滋病毒反应病例中，只有1例假阳性病例可以确诊2例（40％）。 HRP使用者对HIV和HCV快速检测的接受度很高。已经证明了口服快速测试在HRP中的有用性，尤其是在移动HRP中。

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