Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar
Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results. Objec...
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| Veröffentlicht in: | Global health action 2017-01, Vol.10 (1), p.1395657-1395657 |
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| creator | Thiha, Soe Shewade, Hemant Deepak Philip, Sairu Aung, Thet Ko Kyaw, Nang Thu Thu Oo, Myo Minn Kyaw, Khine Wut Yee Wint War, May Oo, Htun Nyunt |
| description | Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results.
Objective: This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to receipt of result by mother) or nonreceipt of result among HIV-exposed babies whose blood samples were collected for PCR at |
| doi_str_mv | 10.1080/16549716.2017.1395657 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_29115910</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_7282d2132f7b487eb012e3089b50b331</doaj_id><sourcerecordid>2195372997</sourcerecordid><originalsourceid>FETCH-LOGICAL-c562t-64acfc4fb3566744184fd0ef1399bcebd705d1807958a8858df2f9ebb7279f013</originalsourceid><addsrcrecordid>eNp9kk1vEzEQhlcIRD_gJ4AsceGS4I_12r4gUEVppCIugMTJ8mfqaNcutkOVf18vSSrKgZOt8TPvzHjernuF4BJBDt-hgfaCoWGJIWJLRAQdKHvSnc7xheAcPj3eG3TSnZWygXAgjJHn3QkWCFGB4Gn381KZmnIBqpRkgqrOgrtQb8CY4hrUbY4qp220oIbJAZ8ycCqPOxCiV7ECG9Q6phIKSB5crX60OPiyU3FS-UX3zKuxuJeH87z7fvnp28XV4vrr59XFx-uFoQOui6FXxpvea0KHgfU94r230Pk2kdDGacsgtYhDJihXnFNuPfbCac0wEx4ict6t9ro2qY28zaHV3smkgvwTSHktVa7BjE4yzLHFiGDPdM-Z0xBhRyAXmkJNyKz1fq91u9WTs8bFmtX4SPTxSww3cp1-S8og7AVpAm8PAjn92rpS5RSKceOookvbIpEYEB-wILyhb_5BN2n-7rFIjAQlDAvBGkX3lMmplOz8QzMIytkI8mgEORtBHozQ8l7_PclD1nHzDfiwB9omU57UXcqjlVXtxpR9VtGEIsn_a9wDBjLB0w</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2195372997</pqid></control><display><type>article</type><title>Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar</title><source>Taylor & Francis Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Co-Action Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Sociological Abstracts</source><creator>Thiha, Soe ; Shewade, Hemant Deepak ; Philip, Sairu ; Aung, Thet Ko ; Kyaw, Nang Thu Thu ; Oo, Myo Minn ; Kyaw, Khine Wut Yee ; Wint War, May ; Oo, Htun Nyunt</creator><creatorcontrib>Thiha, Soe ; Shewade, Hemant Deepak ; Philip, Sairu ; Aung, Thet Ko ; Kyaw, Nang Thu Thu ; Oo, Myo Minn ; Kyaw, Khine Wut Yee ; Wint War, May ; Oo, Htun Nyunt</creatorcontrib><description>Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results.
Objective: This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to receipt of result by mother) or nonreceipt of result among HIV-exposed babies whose blood samples were collected for PCR at <9 months of age under the IHC program, Myanmar (2013-15).
Methods: Cohort study involving record review of routinely collected data. A predictive Poisson regression model with robust variance estimates was fitted for risk factors of long TAT or nonreceipt of result.
Results: Blood samples of 1 000 babies were collected; among them, long TAT or nonreceipt of results was seen in 690 (69%), and this was more than 50% across all subgroups. Babies with a mother's CD4 count of 100-350 cells/mm
3
at enrollment [adjusted RR (0.95 confidence intervals, CI): 0.8 (0.7, 0.9)] had a 20% lower risk of long TAT or nonreceipt of results when compared with ≥350 cells/mm
3
. Distance between ART center and PCR facility ≥105 km [adjusted RR (0.95 CI): 1.2 (1.1, 1.4)], when compared with <105 km, was associated with 20% higher risk of long TAT or nonreceipt of results.
Conclusions: The proportion of babies with long TAT or nonreceipt of result by the mother was high. Point-of-care testing for EID may reduce TAT/nonreceipt of results by the mother. Health system, laboratory, and logistic factors such as sample transportation, laboratory procedures, and result dispatching associated with long TAT should be further explored.</description><identifier>ISSN: 1654-9716</identifier><identifier>EISSN: 1654-9880</identifier><identifier>DOI: 10.1080/16549716.2017.1395657</identifier><identifier>PMID: 29115910</identifier><language>eng</language><publisher>United States: Taylor & Francis</publisher><subject>Antiretroviral therapy ; Blood tests ; Chemical analysis ; Cohort analysis ; early diagnosis/utilization ; Health services ; HIV ; HIV-exposed babies ; Human immunodeficiency virus ; Immune response ; Infants ; Laboratories ; Maternal and infant welfare ; Medical diagnosis ; Mothers ; operational research ; Original ; Risk factors ; SORT IT ; Technology ; Transportation ; turnaround time ; Uptake</subject><ispartof>Global health action, 2017-01, Vol.10 (1), p.1395657-1395657</ispartof><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2017</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2017 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-64acfc4fb3566744184fd0ef1399bcebd705d1807958a8858df2f9ebb7279f013</citedby><cites>FETCH-LOGICAL-c562t-64acfc4fb3566744184fd0ef1399bcebd705d1807958a8858df2f9ebb7279f013</cites><orcidid>0000-0002-6222-7994 ; 0000-0002-4849-579X ; 0000-0003-4089-016X ; 0000-0003-0263-136X ; 0000-0003-1531-9519 ; 0000-0002-8464-7201 ; 0000-0003-0709-484X ; 0000-0002-8242-1911</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700493/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700493/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27321,27479,27901,27902,33751,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29115910$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thiha, Soe</creatorcontrib><creatorcontrib>Shewade, Hemant Deepak</creatorcontrib><creatorcontrib>Philip, Sairu</creatorcontrib><creatorcontrib>Aung, Thet Ko</creatorcontrib><creatorcontrib>Kyaw, Nang Thu Thu</creatorcontrib><creatorcontrib>Oo, Myo Minn</creatorcontrib><creatorcontrib>Kyaw, Khine Wut Yee</creatorcontrib><creatorcontrib>Wint War, May</creatorcontrib><creatorcontrib>Oo, Htun Nyunt</creatorcontrib><title>Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar</title><title>Global health action</title><addtitle>Glob Health Action</addtitle><description>Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results.
Objective: This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to receipt of result by mother) or nonreceipt of result among HIV-exposed babies whose blood samples were collected for PCR at <9 months of age under the IHC program, Myanmar (2013-15).
Methods: Cohort study involving record review of routinely collected data. A predictive Poisson regression model with robust variance estimates was fitted for risk factors of long TAT or nonreceipt of result.
Results: Blood samples of 1 000 babies were collected; among them, long TAT or nonreceipt of results was seen in 690 (69%), and this was more than 50% across all subgroups. Babies with a mother's CD4 count of 100-350 cells/mm
3
at enrollment [adjusted RR (0.95 confidence intervals, CI): 0.8 (0.7, 0.9)] had a 20% lower risk of long TAT or nonreceipt of results when compared with ≥350 cells/mm
3
. Distance between ART center and PCR facility ≥105 km [adjusted RR (0.95 CI): 1.2 (1.1, 1.4)], when compared with <105 km, was associated with 20% higher risk of long TAT or nonreceipt of results.
Conclusions: The proportion of babies with long TAT or nonreceipt of result by the mother was high. Point-of-care testing for EID may reduce TAT/nonreceipt of results by the mother. Health system, laboratory, and logistic factors such as sample transportation, laboratory procedures, and result dispatching associated with long TAT should be further explored.</description><subject>Antiretroviral therapy</subject><subject>Blood tests</subject><subject>Chemical analysis</subject><subject>Cohort analysis</subject><subject>early diagnosis/utilization</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV-exposed babies</subject><subject>Human immunodeficiency virus</subject><subject>Immune response</subject><subject>Infants</subject><subject>Laboratories</subject><subject>Maternal and infant welfare</subject><subject>Medical diagnosis</subject><subject>Mothers</subject><subject>operational research</subject><subject>Original</subject><subject>Risk factors</subject><subject>SORT IT</subject><subject>Technology</subject><subject>Transportation</subject><subject>turnaround time</subject><subject>Uptake</subject><issn>1654-9716</issn><issn>1654-9880</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNp9kk1vEzEQhlcIRD_gJ4AsceGS4I_12r4gUEVppCIugMTJ8mfqaNcutkOVf18vSSrKgZOt8TPvzHjernuF4BJBDt-hgfaCoWGJIWJLRAQdKHvSnc7xheAcPj3eG3TSnZWygXAgjJHn3QkWCFGB4Gn381KZmnIBqpRkgqrOgrtQb8CY4hrUbY4qp220oIbJAZ8ycCqPOxCiV7ECG9Q6phIKSB5crX60OPiyU3FS-UX3zKuxuJeH87z7fvnp28XV4vrr59XFx-uFoQOui6FXxpvea0KHgfU94r230Pk2kdDGacsgtYhDJihXnFNuPfbCac0wEx4ict6t9ro2qY28zaHV3smkgvwTSHktVa7BjE4yzLHFiGDPdM-Z0xBhRyAXmkJNyKz1fq91u9WTs8bFmtX4SPTxSww3cp1-S8og7AVpAm8PAjn92rpS5RSKceOookvbIpEYEB-wILyhb_5BN2n-7rFIjAQlDAvBGkX3lMmplOz8QzMIytkI8mgEORtBHozQ8l7_PclD1nHzDfiwB9omU57UXcqjlVXtxpR9VtGEIsn_a9wDBjLB0w</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Thiha, Soe</creator><creator>Shewade, Hemant Deepak</creator><creator>Philip, Sairu</creator><creator>Aung, Thet Ko</creator><creator>Kyaw, Nang Thu Thu</creator><creator>Oo, Myo Minn</creator><creator>Kyaw, Khine Wut Yee</creator><creator>Wint War, May</creator><creator>Oo, Htun Nyunt</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><general>Taylor & Francis 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associated with long turnaround time for early infant diagnosis of HIV in Myanmar</title><author>Thiha, Soe ; Shewade, Hemant Deepak ; Philip, Sairu ; Aung, Thet Ko ; Kyaw, Nang Thu Thu ; Oo, Myo Minn ; Kyaw, Khine Wut Yee ; Wint War, May ; Oo, Htun Nyunt</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-64acfc4fb3566744184fd0ef1399bcebd705d1807958a8858df2f9ebb7279f013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Antiretroviral therapy</topic><topic>Blood tests</topic><topic>Chemical analysis</topic><topic>Cohort analysis</topic><topic>early diagnosis/utilization</topic><topic>Health services</topic><topic>HIV</topic><topic>HIV-exposed babies</topic><topic>Human immunodeficiency virus</topic><topic>Immune response</topic><topic>Infants</topic><topic>Laboratories</topic><topic>Maternal and infant welfare</topic><topic>Medical diagnosis</topic><topic>Mothers</topic><topic>operational research</topic><topic>Original</topic><topic>Risk factors</topic><topic>SORT IT</topic><topic>Technology</topic><topic>Transportation</topic><topic>turnaround time</topic><topic>Uptake</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thiha, Soe</creatorcontrib><creatorcontrib>Shewade, Hemant Deepak</creatorcontrib><creatorcontrib>Philip, Sairu</creatorcontrib><creatorcontrib>Aung, Thet Ko</creatorcontrib><creatorcontrib>Kyaw, Nang Thu Thu</creatorcontrib><creatorcontrib>Oo, Myo Minn</creatorcontrib><creatorcontrib>Kyaw, Khine Wut Yee</creatorcontrib><creatorcontrib>Wint War, May</creatorcontrib><creatorcontrib>Oo, Htun Nyunt</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Social Services Abstracts</collection><collection>Health & 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Sciences</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Global health action</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thiha, Soe</au><au>Shewade, Hemant Deepak</au><au>Philip, Sairu</au><au>Aung, Thet Ko</au><au>Kyaw, Nang Thu Thu</au><au>Oo, Myo Minn</au><au>Kyaw, Khine Wut Yee</au><au>Wint War, May</au><au>Oo, Htun Nyunt</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar</atitle><jtitle>Global health action</jtitle><addtitle>Glob Health Action</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>10</volume><issue>1</issue><spage>1395657</spage><epage>1395657</epage><pages>1395657-1395657</pages><issn>1654-9716</issn><eissn>1654-9880</eissn><abstract>Background: A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results.
Objective: This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to receipt of result by mother) or nonreceipt of result among HIV-exposed babies whose blood samples were collected for PCR at <9 months of age under the IHC program, Myanmar (2013-15).
Methods: Cohort study involving record review of routinely collected data. A predictive Poisson regression model with robust variance estimates was fitted for risk factors of long TAT or nonreceipt of result.
Results: Blood samples of 1 000 babies were collected; among them, long TAT or nonreceipt of results was seen in 690 (69%), and this was more than 50% across all subgroups. Babies with a mother's CD4 count of 100-350 cells/mm
3
at enrollment [adjusted RR (0.95 confidence intervals, CI): 0.8 (0.7, 0.9)] had a 20% lower risk of long TAT or nonreceipt of results when compared with ≥350 cells/mm
3
. Distance between ART center and PCR facility ≥105 km [adjusted RR (0.95 CI): 1.2 (1.1, 1.4)], when compared with <105 km, was associated with 20% higher risk of long TAT or nonreceipt of results.
Conclusions: The proportion of babies with long TAT or nonreceipt of result by the mother was high. Point-of-care testing for EID may reduce TAT/nonreceipt of results by the mother. Health system, laboratory, and logistic factors such as sample transportation, laboratory procedures, and result dispatching associated with long TAT should be further explored.</abstract><cop>United States</cop><pub>Taylor & Francis</pub><pmid>29115910</pmid><doi>10.1080/16549716.2017.1395657</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-6222-7994</orcidid><orcidid>https://orcid.org/0000-0002-4849-579X</orcidid><orcidid>https://orcid.org/0000-0003-4089-016X</orcidid><orcidid>https://orcid.org/0000-0003-0263-136X</orcidid><orcidid>https://orcid.org/0000-0003-1531-9519</orcidid><orcidid>https://orcid.org/0000-0002-8464-7201</orcidid><orcidid>https://orcid.org/0000-0003-0709-484X</orcidid><orcidid>https://orcid.org/0000-0002-8242-1911</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Taylor & Francis Open Access; DOAJ Directory of Open Access Journals; Co-Action Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Sociological Abstracts |
| subjects | Antiretroviral therapy Blood tests Chemical analysis Cohort analysis early diagnosis/utilization Health services HIV HIV-exposed babies Human immunodeficiency virus Immune response Infants Laboratories Maternal and infant welfare Medical diagnosis Mothers operational research Original Risk factors SORT IT Technology Transportation turnaround time Uptake |
| title | Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar |
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