Table 2.

Matching the Testing Paradigm to the Setting

CharacteristicExample PopulationsPreferred Paradigm
Reliable follow-upBirth cohort
stable OAT
1. Standard 2-step Ab followed by HCV RNA
Short interaction with uncertain follow-upJail
PWID
Screening drive
1. POC Ab → POC RNA
2. POC Ab → DBS collection
Very high prevalenceSIS
Active PWID
Prison (?)
1. POC HCV RNA/(Core Ag)
Limited healthcare providersRural/remote
Self-testing
1. DBS → Ab and HCV RNA
CharacteristicExample PopulationsPreferred Paradigm
Reliable follow-upBirth cohort
stable OAT
1. Standard 2-step Ab followed by HCV RNA
Short interaction with uncertain follow-upJail
PWID
Screening drive
1. POC Ab → POC RNA
2. POC Ab → DBS collection
Very high prevalenceSIS
Active PWID
Prison (?)
1. POC HCV RNA/(Core Ag)
Limited healthcare providersRural/remote
Self-testing
1. DBS → Ab and HCV RNA

Abbreviations: Ab, antibody; Ag, antigen; DBS, dried blood spot; HCV, hepatitis C virus; OAT, opiate agonist therapy; POC, point of care; PWID, people who inject drugs; SIS, supervised injection site.

Table 2.

Matching the Testing Paradigm to the Setting

CharacteristicExample PopulationsPreferred Paradigm
Reliable follow-upBirth cohort
stable OAT
1. Standard 2-step Ab followed by HCV RNA
Short interaction with uncertain follow-upJail
PWID
Screening drive
1. POC Ab → POC RNA
2. POC Ab → DBS collection
Very high prevalenceSIS
Active PWID
Prison (?)
1. POC HCV RNA/(Core Ag)
Limited healthcare providersRural/remote
Self-testing
1. DBS → Ab and HCV RNA
CharacteristicExample PopulationsPreferred Paradigm
Reliable follow-upBirth cohort
stable OAT
1. Standard 2-step Ab followed by HCV RNA
Short interaction with uncertain follow-upJail
PWID
Screening drive
1. POC Ab → POC RNA
2. POC Ab → DBS collection
Very high prevalenceSIS
Active PWID
Prison (?)
1. POC HCV RNA/(Core Ag)
Limited healthcare providersRural/remote
Self-testing
1. DBS → Ab and HCV RNA

Abbreviations: Ab, antibody; Ag, antigen; DBS, dried blood spot; HCV, hepatitis C virus; OAT, opiate agonist therapy; POC, point of care; PWID, people who inject drugs; SIS, supervised injection site.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close