False-negative HIV tests using oral fluid tests in children taking antiretroviral therapy from Harare, Zimbabwe

Ioana D. Olaru, Grace McHugh, Suba Dakshina, Edith Majonga, Ethel Dauya, Tsitsi Bandason, Katharina Kranzer, Hilda Mujuru, Rashida Ferrand

Rapid diagnostic tests (RDT) for HIV infection have high sensitivity and specificity, but in the setting of longstanding antiretroviral therapy (ART), can give false results that can lead to misinterpretation, confusion and inadequate management. The objective of this study was to evaluate the proportion of falsely negative results of a RDT performed on oral fluid in HIV-infected children on longstanding ART.

This study found that a substantial proportion of false-negative HIV test results in children on longstanding ART when using an oral fluid test. This could lead to misinterpretation of HIV test results and in the false perception of cure or delayed diagnosis.

August 31, 2017
Year of publication
Resource types
Journal and research articles
oral fluid tests, children, Zimbabwe, false negative, rapid diagnostic tests (RDTs), antiretroviral therapy (ART), ART, longstanding ART, treatment, HIV misdiagnosis, misdiagnosis, misinterpretation, HIV-infected children