Practical Issues with HIV Practical Issues with HIV Testing, CD4 - PowerPoint PPT Presentation

Practical Issues with HIV Practical Issues with HIV Testing, CD4 Count and Viral Testing, CD4 Count and Viral Load testing Load testing 2 ND Phnom Penh Symposium on HIV 2 ND Phnom Penh Symposium on HIV Marie Downer, CDC; Chuop Sokheng, NIPH, Marie Downer, CDC; Chuop Sokheng, NIPH, and Chandara Mom, NIPH and Chandara Mom, NIPH 1

Goal • Discuss and clarify issues with lab testing that Clinicians might have 2

DISCUSSION POINTS • What Drs. should know from ordering test to reading report result? • Quality control measures put in place to assure accuracy and reliability 3

DISCUSSION POINTS • Contents of request forms: * Patient ID * Dr. who made request * Who collected samples * Time, date of sample collection * Time and date samples shipped 4

DISCUSSION POINTS Quality check of : • * Sample collection * Transport condition * Testing process * Review of Reports by Lab Head * Turn around time for results 5

DISCUSSION POINTS • What to look for in a patient’s result ? * HIV test; * CD4 Count absolute number * CD4 Count percentage * Is there any discrepancy with previous results or clinical symptoms? 6

DISCUSSION POINTS • What to do in case of discrepancy? * HIV test; * CD4 Count absolute number * CD4 Count percentage 7

DISCUSSION POINTS • What about viral load testing? • Any issues with DNA PCR ? 8