THE CHALLENGES

  • No ability to test and treat same day
  • Requires electricity, instruments, laboratory equipment etc.
  • HIV cannot be tested at the same time
  • Waiting to take two tests in different sites
  • Collecting blood twice
  • Patient has to revisit hospital for results
  • Heavy workload
  • Hard to access antenatal clinic (ANC) services: walking >1 hour

BURDEN OF SYPHILIS IN ASIA

0.24%

Prevalence of maternal syphilis as 0.24% for the Western Pacific Region

0.32%

Prevalence of maternal syphilis as 0.32% for the South-East Asia Region

167,000

CASES

maternal syphilis have occurred

6,800

ADVERSE OUTCOMES

including early fetal deaths

PATIENTS

  • Convenience of one sample
  • Reduces time for testing
  • Same day test & treatment
  • Enables immediate partner notification

CLINICIANS

  • Reduces workload
  • Reduces training time
  • Single procedure, two results

PROGRAM MANAGERS

  • No instruments,  electricity or laboratory equipment required
  • Increasing test coverage
  • Cost-effective by reducing cost of storage, logistics, local distribution
  • Contributes to SDG

PERFORMANCE

The sensitivity and specificity of the SD BIOLINE HIV/Syphilis Duo test was consistently high across specimens from 6 countries around the world and it should be considered for improved HIV and syphilis screening coverage.

DETECTION OF HIV ANTIBODIES

DETECTION OF TREPONEMA PALLIDUM ANTIBODIES

CountrySensitivity Estimate
(exact 95% CI)
Specificity Estimate
(exact 95% CI)
Sensitivity Estimate
(exact 95% CI)
Specificity Estimate
(exact 95% CI)
Ghana100% (98.54%, 100%)100% (97.57%, 100%)100% (98.54%, 100%)99.33% (96.34%, 99.98%)
Togo100% (98.20%, 100%)100% (96.61%, 100%)100% (95.89%, 100%)99.35% (96.41%, 99.98%)
Myanmar100% (96.82%, 100%)99.24% (95.82%, 99.98%)98.67% (92.79%, 99.97%)99.20% (95.62%, 99.98%)
Kenya99.71% (98.40%, 99.99%)100% (98.96%, 100%)100% (95.75%, 100%)100% (99.40%, 100%)
Mexico100% (97.69%, 100%)100% (99.01%, 100%)99.07% (94.90%, 99.98%)99.67% (98.20%, 99.99%)
Laos100% (93.28%, 100%)97.09% (91.72%, 99.40%)100% (54.07%, 100%)100% (96.38%, 100%)
TOTAL99.91% (99.51%, 100%)99.67% (99.16%, 99.91%)99.67% (98.82%, 99.96%)99.72% (99.29%, 99.92%)

COST EFFECTIVENESS

The dual point-of-care screening algorithm had lower overall costs and decreased life-time disability when compared to the other screening choices.

SUMMARY RESULTS FROM THE COHORT DECISION MODEL COMPARING THE EXPECTED EFFECTS (DISABILITY-ADJUSTED LIFE-YEARS (DALYS)) OF THE PREGNANCY AND COSTS PER DALY (2012 U.S. DOLLARS) FOR HIV AND SYPHILIS TESTING ALGORITHMS

Total Costs Cost increase from no program DALYs DALYs prevented compared to no program CER comparing screening to no program ICER*
No program $20,783,454 269,400
Dual HIV/syphilis $21,274,678 $491,224 228,829 40,571 12.11 12.11
HIV test only $21,583,611 $800,158 235,716 33,684 23.75 Strictly** dominated
Single rapid tests for HIV & syphilis $21,593,145 $809,692 235,023 34,377 23.55 Strictly** dominated
HIV rapid test & RPR/TPPA for syphilis $21,605,356 $821,902 235,094 34,306 23.96 Strictly** dominated

* Incremental cost effectiveness ratio (ICER) is the ratio of the change in costs to incremental benefit of an algorithm ** If an algorithm is both more costly and less effective than another algorithm it is considered “strictly dominated” and would not be recommended

IA : Induced abortion DALY : Disability-adjusted life years CER : Cost-effectiveness ratio ICER : Incremental cost-effectiveness ratio

ACCEPTANCE STUDY

Background (Maternity Hospital and Ventanilla-Callao, Peru)

  • This study was carried out to evaluate the
    acceptability among ANC service providers
  • There were problems using separate HIV and
    Syphilis rapid tests from technicians:
    • Confusion with reagent and results
    • Stock outs of HIV test
  • D BIOLINE HIV/Syphilis Duo tests were provided to 10 ANC health centers

Results

  • 100% reported satisfaction with SD BIOLINE HIV/Syphilis Duo test
  • 100% considered the SD BIOLINE HIV/Syphilis Duo
    test to be better than separate tests
  • 32% mentioned difficulties with reading results (now printed ‘HIV’ and ‘SYP’ below the test lines

ACCEPTANCE SURVEY

USING A SINGLE DROP OF BLOOD
82%
READING HIV/ SYPHILIS ON ONLY ONE CASSETTE
79%
HAVING A SINGLE PROCEDURE (EASIER)
64%
SAVING TIME
61%
USING A SINGLE REAGENT FOR THE TEST
25%

Adapted from: Acceptance of HIV/Syphilis Duo Rapid Testing: Survey of Attitudes of Antenatal Care Providers in Peru

MAXIMIZE
PMTCT SERVICE WITH

HIV+SYPHILIS DUO

SIMPLE | RAPID | ACCURATE

RESULTS IN 15-20 MINUTES

SERUM, PLASMA, WHOLE BLOOD

1-30°C 24 MONTHS

ORDER INFORMATION

Cat. No. 06FK30 06FK35
Specimen S / P / WB S / P / WB
Type Device Device
Pack Size 25T/Kit 25T/Kit
Dimension 177 x 110 x 75 mm 177 x 110 x 75 mm
Weight 250G 300G
Contents Devices, Diluent Devices, Diluent, Capillary Pipettes, Alcohol Swabs, Lancets
Carton 565 x 415 x 395mm (55Kits) 565 x 415 x 395mm (55Kits)
Certification CE Marked (06FK30CE, 06FK35CE)

References

  1. Regional framework for the triple elimination of mother-to-child transmission of HIV, hepatitis B and syphilis in Asia and the Pacific, 2018–2030. Manila, Philippines, World Health Organization Regional Office for the Western Pacific. 2018. Licence: CC BY-NC-SA 3.0 IGO
  2. Bristow, C.C. et al. (2014) Multisite Laboratory Evaluation of a Dual Human Immunodeficiency Virus (HIV)/Syphilis Point-of-Care Rapid Test for Simultaneous Detection of HIV and Syphilis Infection. Open Forum Infect Dis. 1(1).
  3. UCLA Program in Global Health, Klausner, J. (2014) Dual rapid tests are costeffective to prevent mother-to-child transmission of HIV infection, syphilis and adverse pregnancy outcomes. [Onilne] Available at:  http://www.dualelimination.org/#!cost-effectiveness/cnqx Accessed 28 Aug 2015.
  4. Acceptance of HIV/Syphilis Duo Rapid Testing: Survey of Attitudes of Antenatal Care Providers in Peru by Maria Valderrama MSH. [Online] https://cdc.confex.com/cdc/std2014/webprogram/Paper34834.html
Weight 0,2 kg

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No Spesifikasi Product
1 Nama Produk SD BIOLINE HIV/Syphilis Duo
2 Merk SD BIOLINE
3 Pabrik STANDARD DIAGNOSTICS, INC
4 Negara Asal Korea Selatan
5 Prinsip Pemeriksaan Immunochromatography Test
6 Kemasan 1 boks terdiri atas;
  • 25 Test Device
  • Setiap Test Device terbungkus aluminium foil dalam box asli pabrik & tercantum masa kadaluwarsa
7 Kemampuan Deteksi
  • Kemampuan mendeteksi antibodi HIV type I dan II
  • Kemampuan mendeteksi antibodi Treponema Palidum
  • Hasil pemeriksaan 20 menit
8 Hasil Test Kualitatif
9 Spesimen Whole blood, Serum, Plasma
10 Volume Sampel 10 µl untuk serum atau plasma dan 20 µl untuk whole blood
11 Sensitivitas & Spesifisitas HIV (Sensitivitas 100% dan Spesifisitas 100%) Syphilis (Sensitivitas 100% dan Spesifisitas 99,1%)
12 Suhu Penyimpanan 2-30ºC
13 Kadaluarsa 24 bulan dari tanggal produksi
14 No Katalog 06FK30
15 Registrasi Terdaftar di Kementrian Kesehatan RI
16 No Registrasi AKL 30305515934

How to Use (Micropipitte)

How to Use (Fingerstick)

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