Editorials

Technological challenges in diagnosis and management of HIV infection in resource limited settings

BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39275.457188.AE (Published 26 July 2007) Cite this as: BMJ 2007;335:165
  1. Purnima Madhivanan, PhD candidate1,
  2. Karl Krupp, programme director2
  1. 1Division of Epidemiology, School of Public Health, University of California, Berkeley, CA 94720-7350, USA
  2. 2Public Health Research Institute, CSI Holdsworth Memorial Hospital, PO Box 38, Mysore, Karnataka, India
  1. mpurnima{at}berkeley.edu

    Relatively quick and cheap tests can work but must be evaluated and monitored properly

    With the HIV epidemic in its third decade, appropriate use of technology in resource limited settings has taken on added importance as priorities shift from detection and prevention to care and support for people living with HIV. At the same time, there is a continuing need for evaluation of and improvement in the critical diagnostic tools, such as rapid tests for HIV, which have become indispensable in settings with a high prevalence of infection.

    In this week's BMJ two studies look at such evaluations. MacLennan and colleagues1 assess the diagnostic accuracy and clinical utility of a simplified flow cytometry method for measuring CD4 counts that promises a more affordable alternative for routine clinical use in resource limited settings. Gray and colleagues2 highlight problems encountered with the use of rapid tests for HIV screening in rural Rakai, Uganda.

    As the world moves towards universal access to antiretroviral …

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