Use of a home-use test to diagnose HIV infection in a sex partner: a case report.

Home-use HIV tests have the potential to increase testing and may be used by sex partners to inform sexual decision-making. To our knowledge, this is the first report of an individual diagnosed with HIV using a home-use test with a sex partner. We are conducting a randomized controlled trial of home self-testing for HIV using the OraQuick ADVANCE® HIV-1/2 Antibody Test on oral fluids. In 2011, a 27-year-old, homeless, Latino man who has sex with men not enrolled in the trial (the case) reported receiving a reactive result from a diverted study kit. When interviewed by study staff, the case reported that, 11 months prior, he had unprotected anal sex with a trial subject without discussing HIV status. Afterwards, the subject asked the case if he would like to test, performed the test, and disclosed the reactive result. The case reported altering his behavior to decrease the risk of HIV transmission to subsequent partners and sought care two months later. This case demonstrates that home-use HIV tests will be used by sex partners to learn and disclose HIV status and inform sexual decision-making. It also highlights concerns regarding the absence of counseling and the potential for delayed entry into HIV care. Additional research must be done to determine under what circumstances home-use tests can be used to increase awareness of HIV status, how they impact linkage to care among persons newly diagnosed with HIV, and whether they can be safely used to increase the accuracy of serosorting.

家用艾滋病检测试剂有可能增加检测次数，性伴侣可能会使用它来为性决策提供依据。据我们所知，这是首例关于有人使用家用检测试剂与性伴侣一起检测并被诊断出感染艾滋病的报告。 我们正在使用口腔液的OraQuick ADVANCE® HIV - 1/2抗体检测试剂进行一项关于艾滋病家庭自检的随机对照试验。2011年，一名27岁无家可归的拉丁裔男同性恋者（案例对象）未参加该试验，但他报告从一个被挪用的研究试剂盒中得到了阳性结果。当研究人员对其进行访谈时，该案例对象称，11个月前，他在未讨论艾滋病感染状况的情况下与一名试验对象进行了无保护的肛交。之后，该试验对象询问他是否愿意检测，进行了检测，并告知了阳性结果。该案例对象称他改变了自己的行为以降低将艾滋病传播给后续伴侣的风险，并在两个月后寻求治疗。 这个案例表明，性伴侣会使用家用艾滋病检测试剂来了解和披露艾滋病感染状况，并为性决策提供依据。它也凸显了缺乏咨询以及可能延迟进入艾滋病治疗环节的担忧。必须进行更多的研究，以确定在何种情况下可以使用家用检测试剂来提高对艾滋病感染状况的认识，它们如何影响新确诊艾滋病患者与治疗的衔接，以及它们是否可以安全地用于提高血清分型的准确性。