Thornton NAAT


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  • Points to Client about NAAT: “ The NAAT test is able to let us know if you got HIV from someone you recently had sex with. What this test does it is picking up changes in your body’s cells. These changes in your body’s cells happen about 1 to 2 weeks after you are infected with HIV and is called the “Acute” period. Explanation of Acute Period: “ The Acute period means that the HIV Virus is making lots of new HIV viruses in your body’s cells. These new HIV viruses cause changes in your body’s cells. The changes in your body’s cells can be picked up on the NAAT test.”
  • Early detection is when the virus is reproducing Quite often the person does not know they are infected During the acute phase a person my only have few signs/symptoms: Fever, sore throat, headache, skin rash and swollen glands
  • Client Education Summary: Increase HIV education and importance of early and frequent testing. If you have sex without a condom or engage in some kind of risky sex get tested. Condom whenever you engage in any type of sex (oral, vaginal, or anal) Limit your number of sex partners Know more about your partners past and present (Their past and present may effect your future) Ask questions to find out if your partner(s) is using drug, exchange sex for money/drugs have multiple partners etc.. Reduce risky behavior Multiple partners
  • Staff Education: Ensure that your clinical and prevention staff know the very basis “Acute” HIV and are able to relate the information to a client based on the clients level Detected by the changes in the RNA in a person body NAAT is the only test at this time to identify “Acute” HIV - HIV at it’s earliest detection time The Acute phase last on an average 54 - 62 days What does the NAAT result mean: It means HIV has been detected in your body During the “Acute” phase the virus is reproducing rapidly in the body. The patients viral load is at its’ highest. Ideal time to enroll patient in services and for first medical evaluation in order to reduce the spread of the virus.
  • Once the positive lab is processed and the Program Manager/NAAT Coordinator (PM/NAAT Coor) receives the confidential email informing them of the results then the PM/NAAT Coor can access cyber lab to retrieve the client specific information.
  • Nurse Coordinator will assess the patients’ medical record for possible history and reason for testing. Nurse Coordinator will record search STD*MIS and coordinate activities with FLS to ensure all abnormal labs are appropriately addressed. Abnormal labs are placed in patient’s medical record.
  • Latent/Chronic HIV patient is defined by the presents of antibodies
  • Prioritizing Appointments: Within 72 hours of laboratory notification the labs are record searched and field record initiated to the Senior Service Linkage Worker/designate for field follow-up and notification. They will ensure that the client has all the necessary identification, copy of results, proof residence and income verification.
  • Senior Service Linkage Worker ensure that the NAAT positive client is enrolled in follow up care and receives their first medical examination within 1 week of enrollment. Chronic HIV patient first medical examination can take up to 30 days.
  • Thornton NAAT

    1. 1. Nucleic Acid Amplification Test NAAT
    2. 2. Client Education <ul><li>NAAT is able to find HIV in your body within 9 to 11 days after you get HIV from someone. </li></ul><ul><li>During this time, the HIV infection in your body is in what is known as the “Acute” period. </li></ul>
    3. 3. Client Education <ul><li>Transmission Rate </li></ul><ul><li>When a person has HIV, the virus will make more new viruses during the Acute period. </li></ul><ul><li>This means that during the Acute period, a person is more likely to pass the HIV virus to others when having unprotected sex. </li></ul>
    4. 4. Client Education <ul><li>Increase your knowledge of HIV </li></ul><ul><ul><li>Get Tested </li></ul></ul><ul><ul><li>Use condom </li></ul></ul><ul><ul><li>Decrease number of sex Partners </li></ul></ul><ul><ul><li>Know your partner </li></ul></ul>
    5. 5. Staff Education <ul><li>Conduct in-service sessions to educate and inform clinical and prevention staff: </li></ul><ul><ul><li>Present basis of NAAT and how the test work </li></ul></ul><ul><ul><li>Patient Education and Information </li></ul></ul><ul><ul><li>Interpretation of NAAT result </li></ul></ul>
    6. 6. Identifying and Posting Positive Results <ul><li>Labs are processed and distributed back to the various clinics via courier </li></ul><ul><li>Program Manager/ NAAT Coordinator are notified of positive NAAT results via confidential e-mail. </li></ul>
    7. 7. Identifying and Posting Positive Results <ul><li>All abnormal labs are routed to the Nurse Coordinator daily: </li></ul><ul><ul><li>Assessment and review </li></ul></ul><ul><ul><li>STD*MIS record search </li></ul></ul>
    8. 8. NAAT vs. EIA/ELISA Western Blot <ul><ul><li>NAAT </li></ul></ul><ul><ul><li>Detection 9 -11 days after exposure </li></ul></ul><ul><ul><li>Detects changes in RNA </li></ul></ul><ul><ul><li>Acute HIV </li></ul></ul><ul><ul><li>Highly Infectious </li></ul></ul><ul><li>EIA/ELISA </li></ul><ul><li>Western Blot </li></ul><ul><ul><li>Detection 2 – 12 weeks after exposure </li></ul></ul><ul><ul><li>Detection of antibodies </li></ul></ul><ul><ul><li>Latent or chronic HIV </li></ul></ul><ul><ul><li>Infection rate decreased but client is still infectious. </li></ul></ul>
    9. 9. Prioritizing Appointments <ul><li>NAAT positive clients are prioritized by having a Senior Service Linkage Worker or designated specialist to expedite notification within 72 hours of laboratory notification. </li></ul><ul><li>The Senior Service Linkage Worker ensures that the client is directly linked to follow-up care by hand-walking the client through the process. </li></ul>
    10. 10. Prioritizing Appointments <ul><li>Senior Service Linkage Worker: </li></ul><ul><ul><li>Enrollment of client quickly and efficiently into services. </li></ul></ul><ul><ul><li>Escorts the client to initial medical follow-up appointment. </li></ul></ul>