{"id":201568,"date":"2025-10-28T12:07:34","date_gmt":"2025-10-28T15:07:34","guid":{"rendered":"https:\/\/controllab.com\/?post_type=resumos&#038;p=201568"},"modified":"2025-10-30T11:22:05","modified_gmt":"2025-10-30T14:22:05","slug":"progresso-no-diagnostico-de-hiv-uma-revisao-de-14-anos-do-desempenho-e-da-qualidade-dos-testes-no-ponto-de-cuidado","status":"publish","type":"resumos","link":"https:\/\/controllab.com\/es\/educacion\/resumenes-cientificos\/progresso-no-diagnostico-de-hiv-uma-revisao-de-14-anos-do-desempenho-e-da-qualidade-dos-testes-no-ponto-de-cuidado\/","title":{"rendered":"Progresso no Diagn\u00f3stico de HIV: Uma Revis\u00e3o de 14 Anos do Desempenho e da Qualidade dos Testes no Ponto de Cuidado"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"201568\" class=\"elementor elementor-201568\" data-elementor-post-type=\"resumos\">\n\t\t\t\t<div class=\"has_ae_slider elementor-element elementor-element-14deb9a e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"14deb9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4042968 elementor-widget elementor-widget-heading\" data-id=\"4042968\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Introdu\u00e7\u00e3o - Objetivo<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-2075863 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"2075863\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b0585e7 elementor-widget elementor-widget-text-editor\" data-id=\"b0585e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">A infec\u00e7\u00e3o pelo HIV continua sendo um problema cr\u00edtico de sa\u00fade p\u00fablica global, afetando aproximadamente 38 milh\u00f5es de pessoas em todo o mundo, com uma carga significativa na \u00c1frica Subsaariana e no Sudeste Asi\u00e1tico. Testes POCT baseados em anticorpos para HIV (anti-HIV) s\u00e3o ferramentas essenciais para expandir o acesso ao diagn\u00f3stico, particularmente em ambientes com recursos limitados. Programas Externos de Avalia\u00e7\u00e3o da Qualidade (EQAP) s\u00e3o essenciais para garantir a precis\u00e3o, confiabilidade e harmoniza\u00e7\u00e3o desses m\u00e9todos diagn\u00f3sticos. Este estudo avaliou a profici\u00eancia diagn\u00f3stica de laborat\u00f3rios participantes de um EQAP para POCT anti-HIV, conduzido por um provedor brasileiro de Ensaios de Profici\u00eancia (EP) acreditado pela ABNT NBR ISO\/IEC 17043:2011.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-691183f e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"691183f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-45d35b9 elementor-widget elementor-widget-heading\" data-id=\"45d35b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">M\u00e9todos<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-7a5a2df e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"7a5a2df\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15515ed elementor-widget elementor-widget-text-editor\" data-id=\"15515ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">Dados de 2010 a 2024 foram analisados, abrangendo quatro rodadas anuais. Os participantes testaram quatro amostras de controle de qualidade liofilizadas e\/ou l\u00edquidas por rodada. As m\u00e9tricas avaliadas inclu\u00edram o n\u00famero de participantes, m\u00e9todos de teste, taxas de adequa\u00e7\u00e3o (%A), especificidade (ES) e sensibilidade (SE).<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-5278660 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"5278660\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f82c5ca elementor-widget elementor-widget-heading\" data-id=\"f82c5ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Resultados<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-b077eea e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"b077eea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cf04e42 elementor-widget elementor-widget-text-editor\" data-id=\"cf04e42\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">928 laborat\u00f3rios contribu\u00edram com 58.409 conjuntos de dados, incluindo 903 do Brasil e 25 da Bol\u00edvia, Col\u00f4mbia e Panam\u00e1. A participa\u00e7\u00e3o dos laborat\u00f3rios aumentou significativamente, de 82 em 2010 para 365 em 2024 (p = 0,0000), e consolidou-se em mais de 300 desde 2021. As m\u00e9tricas de desempenho foram consistentemente altas, com uma %A geral de 98,6%, ES de 98,9% e SE de 98,5% (Figura 1). A imunocromatografia foi o m\u00e9todo de teste predominante, alcan\u00e7ando %A 98,7%, ES 98,9%, SE 98,5%, 99% de resultados verdadeiros negativos e 98,1% de resultados verdadeiros positivos. O desempenho dos kits mais utilizados foi o seguinte:<\/span><\/p><ul><li><span style=\"font-family: Arial, serif;\">Fabricante A: 375 participantes, 13.755 conjuntos de dados, %A 99,4%, ES 99,6%, SE 99,1%<\/span><\/li><li><span style=\"font-family: Arial, serif;\">Fabricante B: 298 participantes, 8.464 conjuntos de dados, %A 99,1%, ES 99,6%, SE 97,8%<\/span><\/li><li><span style=\"font-family: Arial, serif;\">Fabricante C: 165 participantes, 4.145 conjuntos de dados, %A 98,5%, ES 98,5%, SE 98,6% (Tabela 1).<\/span><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-93130e7 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"93130e7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd93a87 elementor-widget elementor-widget-image\" data-id=\"bd93a87\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Figura-1.png\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjAxNTc5LCJ1cmwiOiJodHRwczpcL1wvY29udHJvbGxhYi5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcL0FydGlnby00LUZpZ3VyYS0xLnBuZyJ9\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"231\" height=\"149\" src=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Figura-1.png\" class=\"attachment-large size-large wp-image-201579\" alt=\"Participa\u00e7\u00e3o e desempenho ao longo do tempo - Figura 1\" srcset=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Figura-1.png 231w, https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Figura-1-116x75.png 116w\" sizes=\"(max-width:767px) 231px, 231px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figura 1: Participa\u00e7\u00e3o e desempenho ao longo do tempo.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-3bd60cd e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"3bd60cd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dbc2768 elementor-widget elementor-widget-image\" data-id=\"dbc2768\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Tabela-1-1.png\" data-elementor-open-lightbox=\"yes\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MjAxNTgyLCJ1cmwiOiJodHRwczpcL1wvY29udHJvbGxhYi5jb21cL3dwLWNvbnRlbnRcL3VwbG9hZHNcL0FydGlnby00LVRhYmVsYS0xLTEucG5nIn0%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"579\" height=\"125\" src=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Tabela-1-1.png\" class=\"attachment-large size-large wp-image-201582\" alt=\"Desempenho dos kits mais comumente usados - Tabela 1\" srcset=\"https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Tabela-1-1.png 579w, https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Tabela-1-1-150x32.png 150w, https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Tabela-1-1-480x104.png 480w, https:\/\/controllab.com\/wp-content\/uploads\/Artigo-4-Tabela-1-1-500x108.png 500w\" sizes=\"(max-width:767px) 480px, 579px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Tabela 1: Desempenho dos kits mais comumente usados.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-5e5a065 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"5e5a065\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f08aa96 elementor-widget elementor-widget-heading\" data-id=\"f08aa96\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Conclus\u00f5es<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-045a415 e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"045a415\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cc438b8 elementor-widget elementor-widget-text-editor\" data-id=\"cc438b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\">Este estudo demonstra a crescente ado\u00e7\u00e3o do POCT anti-HIV no Brasil e em pa\u00edses vizinhos, conforme evidenciado por aumentos significativos no recrutamento para o EQAP e m\u00e9tricas de desempenho consistentemente altas. Essas descobertas ressaltam a confiabilidade e a efic\u00e1cia da detec\u00e7\u00e3o anti-HIV POCT e destacam o papel fundamental dos EQAPs na manuten\u00e7\u00e3o da precis\u00e3o diagn\u00f3stica e no avan\u00e7o dos padr\u00f5es de qualidade em toda a regi\u00e3o.<\/span><\/p><p align=\"justify\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-1530fff e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"1530fff\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-61c5b44 elementor-widget elementor-widget-heading\" data-id=\"61c5b44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Refer\u00eancias<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_ae_slider elementor-element elementor-element-50b172f e-flex e-con-boxed ae-bg-gallery-type-default e-con e-parent\" data-id=\"50b172f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bcb62a7 elementor-widget elementor-widget-text-editor\" data-id=\"bcb62a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p align=\"justify\"><span style=\"font-family: Arial, serif;\"><span lang=\"en-US\">Di Germanio C, Yufenyuy EL, Hampton DC, Thorbrogger C, Parekh BS, Norris PJ. A Stable Dried Tube Specimen for Quality Assurance and Training Programs for HIV Rapid Test for Recent Infection. Microbiol Spectr. 2023 Feb 14;11(1): e0339822. doi:10.1128\/spectrum.03398-22. Epub 2023 Jan17. PMID:36648237; PMCID: PMC9927143.<\/span><\/span><\/p><p align=\"justify\"><span style=\"font-family: Arial, serif;\"><span lang=\"en-US\">Smallwood M, Vijh R, Nauche B, Lebouch\u00e9 B, Joseph L, Pant Pai N. Evaluation of a Rapid Point of Care Test for Detecting Acute and Established HIV Infection, and Examining the Role of Study Quality on Diagnostic Accuracy: A Bayesian MetaAnalysis. PLoS One. 2016 Feb18;11(2): e0149592. doi: 10.1371\/journal.pone. 0149592. PMID:26891218; PMCID: PMC4758636.<\/span><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>A. Ferreira4, L. Bottino1, J. Gomes1, A. Vieira1, J. Casali1, E. Mesquita1, S. Da Silva1, T. Aguiar1, L. Vasconcellos2, \u00c1. Pulchinelli3, R. Sykora4, J. Poloni1, V. Biasoli1<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false},"tags":[2744,2746,2745],"class_list":["post-201568","resumos","type-resumos","status-publish","hentry","tag-diagnostico-de-hiv","tag-ponto-de-cuidado","tag-qualidade-dos-testes"],"acf":[],"_links":{"self":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/resumos\/201568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/resumos"}],"about":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/types\/resumos"}],"wp:attachment":[{"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/media?parent=201568"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/controllab.com\/es\/wp-json\/wp\/v2\/tags?post=201568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}