Table. Different Hepatitis C Virus Testing Algorithms Evaluated to Scale Up Interventions in Pakistana.
Testing Algorithm | Screening Test | Detection of Viremia | Assessment of Hepatitis C Treatment Response |
---|---|---|---|
T1 (base case) | Laboratory based | Nucleic acid test | Nucleic acid test |
T2 | Laboratory based | HCVcAg test | Nucleic acid test |
T3 | Point of care | Nucleic acid test | Nucleic acid test |
T4 | Point of care | GeneXpert | GeneXpert |
T5 | Point of care | HCVcAg test and nucleic acid test if HCVcAg test result is negative | HCVcAg test |
T6 | Point of care | HCVcAg test and nucleic acid test if HCVcAg test result is negative | Nucleic acid test |
T7 | Laboratory based | GeneXpert | GeneXpert |
Abbreviation: HCVcAg, hepatitis C virus core antigen.
Performance characteristics of each test are as follows: point-of-care screening, 99.5% sensitivity and 99.8% specificity; nucleic acid test, 99.8% sensitivity and 99.7% specificity; GeneXpert, 99.8% sensitivity and 99.7% specificity; HCVcAg test, 93.2% sensitivity and 98% specificity; and HCVcAg test and nucleic acid test if HCVcAg test result is negative, 99.8% sensitivity and 99.8% specificity.