Nucleic Acid Amplification Nucleic Acid Amplification Test Test

NAATNAAT

Client EducationClient Education NAAT is able to find NAAT is able to find

HIV in your body HIV in your body within 9 to 11 days within 9 to 11 days after you get HIV after you get HIV from someone.from someone.

During this time, During this time, the HIV infection in the HIV infection in your body is in your body is in what is known as what is known as the “Acute” period.the “Acute” period.

Client EducationClient Education

Transmission RateTransmission Rate

When a person has HIV, the virus will When a person has HIV, the virus will make more new viruses during the Acute make more new viruses during the Acute period. period.

This means that during the Acute period, a This means that during the Acute period, a person is more likely to pass the HIV virus person is more likely to pass the HIV virus to others when having unprotected sex. to others when having unprotected sex.

Client EducationClient Education

Increase your Increase your knowledge of HIVknowledge of HIV

Get TestedGet Tested

Use condom Use condom

Decrease number Decrease number of sex Partnersof sex Partners

Know your partnerKnow your partner

Staff EducationStaff Education Conduct in-service Conduct in-service

sessions to sessions to educate and inform educate and inform clinical and clinical and prevention staff:prevention staff:

Present basis of Present basis of NAAT and how the NAAT and how the test worktest work

Patient Education Patient Education and Informationand Information

Interpretation of Interpretation of NAAT result NAAT result

Identifying and Posting Positive ResultsIdentifying and Posting Positive Results

Labs are processed Labs are processed and distributed and distributed back to the various back to the various clinics via courierclinics via courier

Program Manager/ Program Manager/ NAAT Coordinator NAAT Coordinator are notified of are notified of positive NAAT positive NAAT results via results via confidential e-mail.confidential e-mail.

Identifying and PostingIdentifying and Posting Positive Results Positive Results

All abnormal labs All abnormal labs are routed to the are routed to the Nurse Coordinator Nurse Coordinator daily:daily:

Assessment and Assessment and review review

STD*MIS record STD*MIS record searchsearch

NAAT vs. EIA/ELISA Western BlotNAAT vs. EIA/ELISA Western Blot

NAATNAAT

Detection 9 -11 days Detection 9 -11 days after exposureafter exposure

Detects changes in Detects changes in RNARNA

Acute HIVAcute HIV

Highly InfectiousHighly Infectious

EIA/ELISA EIA/ELISA Western BlotWestern BlotDetection 2 – 12 weeks Detection 2 – 12 weeks

after exposureafter exposure

Detection of Detection of antibodiesantibodies

Latent or chronic HIVLatent or chronic HIV

Infection rate Infection rate decreased but client is decreased but client is still infectious.still infectious.

Prioritizing AppointmentsPrioritizing Appointments

NAAT positive clients are prioritized by NAAT positive clients are prioritized by having a Senior Service Linkage Worker or having a Senior Service Linkage Worker or designated specialist to expedite designated specialist to expedite notification within 72 hours of laboratory notification within 72 hours of laboratory notification.notification.

The Senior Service Linkage Worker The Senior Service Linkage Worker ensures that the client is directly linked to ensures that the client is directly linked to follow-up care by hand-walking the client follow-up care by hand-walking the client through the process.through the process.

Prioritizing AppointmentsPrioritizing Appointments

Senior Service Senior Service Linkage Worker:Linkage Worker:

Enrollment of client Enrollment of client quickly and quickly and efficiently into efficiently into services.services.

Escorts the client to Escorts the client to initial medical initial medical follow-up follow-up appointment.appointment.