Table 2.
Available Diagnostics for HIV | Method | Current uses | Requires extensive technical training? | Requires expensive, bulky equipment? | High through-put? | Average Cost | Operation Time | Suitable for low-resource settings? |
---|---|---|---|---|---|---|---|---|
Antigen/Antibody ELISAs | Detects antibodies to HIV or HIV antigens | Confirmatory diagnosis for HIV in adults | ✓ | ✓ | ✓ | $0.60–1.50/test | ~2 hours | × |
Viral Nucleic Acid Amplification (i.e. RT-PCR or PCR) | Detects and quantifies viral RNA or DNA | Confirmatory diagnosis for HIV Monitoring of HIV/AIDS disease state and efficacy of ART |
✓ | ✓ | ✓ | $12/test | ~ hours | × |
Flow Cytometry | Quantifies CD4+ cells | Monitoring of HIV/AIDS disease state and efficacy of ART | ✓ | ✓ | × | $50/test | ~ 1 hour | × |
Lateral Flow Diagnostics (Immuno-chromatographic) | Detects antibodies to HIV or HIV antigens | Screening tool for HIV in adults only | × | × | × | $1–3/test | seconds to minutes | ✓ |
Western Blots | Detects antibodies to HIV | Confirmatory diagnosis for HIV in adults | ✓ | ✓ | × | $20–30/test | ~ hours | × |