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Human immunodeficiency virus (HIV)-infected patients accept finger stick blood collection for point-of-care CD4 testing

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dc.contributor.author Daneau, G. en_US
dc.contributor.author Gous, N. en_US
dc.contributor.author Scott, L. en_US
dc.contributor.author Potgieter, J. en_US
dc.contributor.author Kestens, L. en_US
dc.contributor.author Stevens, W. en_US
dc.date.accessioned 2017-12-18T12:55:57Z
dc.date.available 2017-12-18T12:55:57Z
dc.date.issued 2016 en_US
dc.identifier.issn 1932-6203 en_US
dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0161891 en_US
dc.identifier.other http://lib.itg.be/pdf/itg/2016/2016ponee0161891.pdf en_US
dc.identifier.other 10 pp. en_US
dc.identifier.other 24 en_US
dc.identifier.other ITG-B1A; ITG-B5A; DBM; U-IMMUN; JIF; DOI; PDF; PMC; OAJ; E-only; Abstract; DSPACE64 en_US
dc.identifier.uri http://hdl.handle.net/10390/9741
dc.description.abstract INTRODUCTION: HIV-infected patients require antiretroviral treatment for life. To improve access to care, CD4 enumeration and viral load tests have been redesigned to be used as point-of-care techniques using finger-stick blood. Accurate CD4 counting in capillary blood requires a free flowing blood drop that is achieved by blade incision. The aim of this study was to assess the attitude of the patients toward blade-based finger-stick blood donation. METHODS: Four hundred and ninety-nine patients were included (299 patients from South Africa and 200 from Belgium). They completed a questionnaire to express their preference for finger stick or venipuncture, after undergoing both. The South African patient cohort was divided in two groups, receiving either single or multiple finger stick for CD4 and other HIV-related tests. The Belgian patients received a single finger stick for CD4 testing, and were asked to respond directly and again after two days. RESULTS: The majority of the patients preferred the finger stick to the venipuncture. The perceived pain using the blade was superior to a small needle, but similar to a large needle. They preferred up to three finger sticks over one venipuncture. Up to 30% of the patients changed their mind over two days. The main reason for choosing a finger stick was continued bleeding after venipuncture. The most cited objection to finger stick was pain/soreness. CONCLUSION: Patient perceptions support the implementation of donating capillary blood with blade-based finger stick during CD4 point-of-care testing. en_US
dc.language English en_US
dc.relation.uri http://www.ncbi.nlm.nih.gov/pubmed/27556894 en_US
dc.subject HIV en_US
dc.subject Viral diseases en_US
dc.subject CD4 en_US
dc.subject Diagnostic tests en_US
dc.subject Finger stick en_US
dc.subject Blood en_US
dc.subject Acceptability en_US
dc.subject South Africa en_US
dc.subject Africa-Southern en_US
dc.subject Belgium en_US
dc.subject Europe-West en_US
dc.title Human immunodeficiency virus (HIV)-infected patients accept finger stick blood collection for point-of-care CD4 testing en_US
dc.type Article-E en_US
dc.citation.issue 8 en_US
dc.citation.jtitle PLoS ONE en_US
dc.citation.volume 11 en_US
dc.citation.pages e0161891 en_US
dc.citation.abbreviation PLoS ONE en_US


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