Question: Retesting process - This EQA method is used for HIV rapid testing. HIV rapid testing presents some special challenges, because it is often performed outside
Retesting processThis EQA method is used for HIV rapid testing. HIV rapid testing presents
some special challenges, because it is often performed outside a traditional
laboratory, and by persons who are not trained in laboratory medicine.
Additionally, the kits are singleuse, and cannot be subjected to the usual
quality control methods that laboratories employ. Therefore, retesting of
some of the samples using a different process such as enzyme immunoassay
EIA or ELISA enzymelinked immunosorbent assay helps to assess the
quality of the original testing.
Characteristically, the retesting is:
done by a reference laboratory, to ensure quality;
performed on dried blood spots or serum collected at the time of the
rapid test performance;
not performed as a blinded process, as this is unnecessary.The number of samples retested must provide statistically significant data in
order to detect error. This becomes difficult in settings where small numbers
of rapid tests are performed. A full discussion of the statistical issues in
retesting is found in the CDCWHO reference Guidelines for Assuring the
Accuracy and Reliability of HIV Rapid Testing: Applying a Quality System
Approach. List some MCQ with answers
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