HIV Viral Load Scale-up Among Children and Adolescents: Trends in Viral Load Suppression, Sample Type and Processing in 7 PEPFAR Countries, 2015–2018

Author:

Hrapcak Susan1ORCID,Pals Sherri1,Itoh Megumi1,Peters Natalie2,Carpenter Deborah1,Hackett Stephanie1,Prao Aka K.3,Adje-Toure Christiane3,Eboi Ehui4,Mutisya Immaculate3,Nyabiage Omoto Lennah3,Ondondo Raphael O.3,Bowen Nancy5,Nyanya Winifred5,Kayira Dumbani3,Kaba Muluken D.3,Mwenda Rueben6,Deus Maria Ines3,Almeida Jose3,Cuco Rosa Marlene M.7,Boylan Ashley3,Beard Suzanne3,Ashikoto Sylvia5,van Rooyen Gerhard8,Kindra Gurpreet3,Diallo Karidia3,Carmona Sergio9,Nazziwa Esther3,Mwangi Christina3,Ntale Jonathan3,Ssewanyana Isaac10,Nabadda Susan N.10,Nabukenya Miriam10,Ellenberger Dennis1,Rivadeneira Emilia1

Affiliation:

1. Division of Global HIV and Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention (CDC)

2. Emory University of Medicine, Atlanta, Georgia

3. Division of Global HIV and Tuberculosis, Center for Global Health, CDC

4. HIV/AIDS Program (PNLS), Ministry of Health and Public Hygiene, Côte d’Ivoire, West Africa

5. Ministry of Health, Nairobi, Kenya

6. Ministry of Health, Lilongwe, Malawi

7. Ministry of Health (Ministerio da Saude- MISAU), Maputo, Mozambique

8. Namibia Institute of Pathology, Windhoek, Namibia

9. Ministry of Health, Johannesburg, South Africa

10. Ministry of Health, Kampala, Uganda.

Abstract

HIV-positive children and adolescents face gaps in viral load (VL) testing. To understand trends in pediatric/adolescent VL testing, 7 countries collected data from Laboratory Information Management Systems. Results showed increasing proportion of VL tests done through dried blood spot (DBS) and decreased sample rejection rates for DBS compared with plasma, supporting use of DBS VL when skilled phlebotomy is unavailable.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Infectious Diseases,Microbiology (medical),Pediatrics, Perinatology and Child Health

Reference6 articles.

1. HIV viral load monitoring among patients receiving antiretroviral therapy— eight sub-Saharan Africa countries, 2013-2018.;Lecher;MMWR Morb Mortal Wkly Rep,2021

2. Achieving antiretroviral therapy uptake and viral suppression among children and adolescents living with HIV in the UNAIDS 90-90-90 era across six countries in Eastern and Southern Africa- lessons from the BIPAI network.;Bacha;JAIDS,2022

3. Routine viral load monitoring in HIV-infected infants and children in low- and middle-income countries: challenges and opportunities.;Arpadi;J Int AIDS Soc,2017

4. On the front line of HIV virological monitoring: barriers and facilitators from a provider perspective in resource-limited settings.;Rutstein;AIDS Care,2016

5. Point-of-care HIV viral load testing: an essential tool for a sustainable global HIV/AIDS response.;Drain;Clin Microbiol Rev,2019

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