The survival of PLHIV-1 by the count of CD4 + T lymphocytes remains essential to predict the treatment of opportunistic infections. The aim of the study was to compare the performance of PIMA?? and FACSPresto?? to the conventional equipment of FACSCount?? through CD4 + T cell counting. CD4 + T lymphocytes were tested both on PIMA?? and BD FACSPresto??. Values were compared to those obtained from FACSCount??, using Passing Bablok, Bland-Altman and Pollock diagrams. PIMA?? and FACSPresto?? present a good correlation coefficient with the Passing Bablok diagram (y = ?0.5982 + 0.9940x; ρc = 0.9969) and (y = 7.2913 + 0.9974x; ρc = 0.9972) respectively. Bland-Altman and Pollock plots show mean biases of 3.7 cells/μL (LOA ranging from ?62.7 to 60.1) and 0.5 cells/μL (LOA ranging from ?10.7 to 11.6) for PIMA?? and ?1.5 cells/μL (LOA ranging from ?45.7 to 42.7) and ?1.9 cells/μL (LOA ranging from ?23.4 to 19.6) for FACSPresto??. Sensitivity and specificity of PIMA?? and FACSPresto?? vary respectively between 98 to 99% and 96 to 98% at threshold of 350 cells/μL and 98 to 100% at threshold of 500 cells/μL. Both technologies highlight their ability to be used as an alternative to the reference technique.
References
[1]
Meriki, H.D., Tufon, K.A., Anong, D.N., Atanga, P.N., Anyangwe, I.A., Cho-Ngwa, F., et al. (2019) Genetic Diversity and Antiretroviral Resistance-Associated Mutation Profile of Treated and Naive HIV-1 Infected Patients from the Northwest and Southwest Regions of Cameroon. PLOSONE, 14, e0225575. https://doi.org/10.1371/journal.pone.0225575
[2]
Monleau, M., Faihun, F., Affolabi, D., Afangnihoun, A., Boillot, F., Anagonou, S., et al. (2011) Antiretroviral Drug Resistance in HIV-1 Infected Patients Receiving Antiretroviral Treatment in Routine Clinics in Cotonou, Benin. JAHR, 3, 114-120.
[3]
MS/Direction National de la Santé Publique/Programme Santé de Lutte contre le SIDA/Bénin (2023) Rapport Semestriel. Monitoring du deuxième semestre 2022.
[4]
Mellors, J.W., Munoz, A., Giorgi, J.V., Margolick, J.B., Tassoni, C.J., Gupta, P., et al. (1997) Plasma Viral Load and CD4+ Lymphocytes as Prognostic Markers of HIV-1 Infection. AnnalsofInternalMedicine, 126, 946-954. https://doi.org/10.7326/0003-4819-126-12-199706150-00003
[5]
Cassenote, A.J.F., Grangeiro, A., Escuder, M.M., Abe, J.M. and Segurado, A.A.C. (2018) Validation of CD4+ T-Cell and Viral Load Data from the HIV—Brazil Cohort Study Using Secondary System Data. BMCInfectiousDiseases, 18, Article No. 617. https://doi.org/10.1186/s12879-018-3536-4
[6]
Sagnia, B., Mbakop Ghomsi, F., Gutierrez, A., Sosso, S., Kamgaing, R., Nanfack, A.J., et al. (2020) Performance of the BD FACSPresto near to Patient Analyzer in Comparison with Representative Conventional CD4 Instruments in Cameroon. AIDSResearchandTherapy, 17, Article No. 53. https://doi.org/10.1186/s12981-020-00309-9
[7]
Cheng, X., Gupta, A., Chen, C., Tompkins, R.G., Rodriguez, W. and Toner, M. (2009) Enhancing the Performance of a Point-Of-Care CD4+ T-Cell Counting Microchip through Monocyte Depletion for HIV/AIDS Diagnostics. LabonaChip, 9, 1357-1364. https://doi.org/10.1039/b818813k
[8]
Manabe, Y.C., Wang, Y., Elbireer, A., Auerbach, B. and Castelnuovo, B. (2012) Evaluation of Portable Point-of-Care CD4 Counter with High Sensitivity for Detecting Patients Eligible for Antiretroviral Therapy. PLOSONE, 7, e34319. https://doi.org/10.1371/journal.pone.0034319
[9]
Girum, T., Yasin, F., Wasie, A., Shumbej, T., Bekele, F. and Zeleke, B. (2020) The Effect of “Universal Test and Treat” Program on HIV Treatment Outcomes and Patient Survival among a Cohort of Adults Taking Antiretroviral Treatment (ART) in Low Income Settings of Gurage Zone, South Ethiopia. AIDSResearchandTherapy, 17, Article No. 19. https://doi.org/10.1186/s12981-020-00274-3
[10]
Negedu-Momoh, O.R., Jegede, F.E., Yakubu, A., Balogun, O., Abdullahi, M., Badru, T., et al. (2017) Performance Evaluation of BD FACSPresto™ Point of Care CD4 Analyzer to Enumerate CD4 Counts for Monitoring HIV Infected Individuals in Nigeria. PLOSONE, 12, e0178037. https://doi.org/10.1371/journal.pone.0178037
[11]
MS/PSLS/BENIN (2019) Politique, Normes et Procédures de Prise en Charge des Personnes Vivant avec le VIH au Bénin.
[12]
Mwau, M., Adungo, F., Kadima, S., Njagi, E., Kirwaye, C., Abubakr, N.S., et al. (2013) Evaluation of PIMA™® Point of Care Technology for CD4 T Cell Enumeration in Kenya. PLOSONE, 8, e67612. https://doi.org/10.1371/journal.pone.0067612
[13]
Hyle, E.P., Jani, I.V., Rosettie, K.L., Wood, R., Osher, B., Resch, S., et al. (2017) The Value of Point-of-Care CD4+ and Laboratory Viral Load in Tailoring Antiretroviral Therapy Monitoring Strategies to Resource Limitations. AIDS, 31, 2135-2145. https://doi.org/10.1097/qad.0000000000001586
[14]
Passing, H. and Bablok, W. (1983) A New Biometrical Procedure for Testing the Equality of Measurements from Two Different Analytical Methods. Application of Linear Regression Procedures for Method Comparison Studies in Clinical Chemistry, Part I. Journal of Clinical Chemistry and Clinical Biochemistry, 21, 709-720. https://doi.org/10.1515/cclm.1983.21.11.709
[15]
Lin, L.I. (1989) A Concordance Correlation Coefficient to Evaluate Reproducibility. Biometrics, 45, 255-268. https://doi.org/10.2307/2532051
[16]
Seidu, A., Oduro, J.K., Ahinkorah, B.O., Budu, E., Appiah, F., Baatiema, L., et al. (2020) Women’s Healthcare Decision-Making Capacity and HIV Testing in Sub-Saharan Africa: A Multi-Country Analysis of Demographic and Health Surveys. BMCPublicHealth, 20, Article No. 1592. https://doi.org/10.1186/s12889-020-09660-y
[17]
Ndiaye, H.D., Tchiakpe, E., Vidal, N., Ndiaye, O., Diop, A.K., Peeters, M., et al. (2013) HIV Type 1 Subtype C Remains the Predominant Subtype in Men Having Sex with Men in Senegal. AIDSResearchandHumanRetroviruses, 29, 1265-1272. https://doi.org/10.1089/aid.2013.0140
[18]
Dah, T.T.E., Yaya, I., Sagaon-Teyssier, L., Coulibaly, A., Kouamé, M.J., Agboyibor, M.K., et al. (2021) Adherence to Quarterly HIV Prevention Services and Its Impact on HIV Incidence in Men Who Have Sex with Men in West Africa (CohMSM ANRS 12324-Expertise France). BMCPublicHealth, 21, Article No. 972. https://doi.org/10.1186/s12889-021-10994-4
[19]
Stannah, J., Soni, N., Lam, J.K.S., Giguère, K., Mitchell, K.M., Kronfli, N., et al. (2023) Trends in HIV Testing, the Treatment Cascade, and HIV Incidence among Men Who Have Sex with Men in Africa: A Systematic Review and Meta-analysis. TheLancetHIV, 10, e528-e542. https://doi.org/10.1016/s2352-3018(23)00111-x
[20]
Dah, T.T.E., Yaya, I., Mensah, E., Coulibaly, A., Kouamé, J.M., Traoré, I., et al. (2021) Rapid Antiretroviral Therapy Initiation and Its Effect on Treatment Response in MSM in West Africa. AIDS, 35, 2201-2210. https://doi.org/10.1097/qad.0000000000003046
Sukapirom, K., Onlamoon, N., Thepthai, C., Polsrila, K., Tassaneetrithep, B. and Pattanapanyasat, K. (2011) Performance Evaluation of the Alere PIMA CD4 Test for Monitoring HIV-Infected Individuals in Resource-Constrained Settings. JAIDSJournalofAcquiredImmuneDeficiencySyndromes, 58, 141-147. https://doi.org/10.1097/qai.0b013e31822866a2
[23]
Shimbre, M.S., Belete, A.G., Ghazal, L., Besir, F.D. and Ma, W. (2024) Predictors of CD4 Cell Count Progression over Time among Adolescents and Young Adults Transitioning to Adult-Oriented HIV Care in Southern Ethiopia from 2017 to 2021: A Retrospective Cohort Study. BMCPublicHealth, 24, Article No. 2887. https://doi.org/10.1186/s12889-024-20396-x
[24]
Damtie, D., Yismaw, G., Woldeyohannes, D. and Anagaw, B. (2013) Common Opportunistic Infections and Their CD4 Cell Correlates among HIV-Infected Patients Attending at Antiretroviral Therapy Clinic of Gondar University Hospital, Northwest Ethiopia. BMCResearchNotes, 6, Article No. 534. https://doi.org/10.1186/1756-0500-6-534
[25]
Usman, A.B., Yau, Y.M., Ibrahim, A.M., Folashade, S.Z., Abdullahi, H. and Hamid, K.M. (2024) Determination of Cryptococcal Antigen in Newly Diagnosed HIV Infected Patients Attending Specialist Hospital Sokoto North-Western Nigeria. DiscoverPublicHealth, 21, Article No. 254. https://doi.org/10.1186/s12982-024-00338-z
[26]
Loua, O.-O., Alle Akakpo, A.E., Ouedraogo, D., Cissoko, Y., Soumaré, M., Konaté, I., et al. (2022) Cryptococcose neuroméningée chez une patiente séronégative pour le VIH atteinte de tuberculose pulmonaire au service de Maladies infectieuses et tropicales du CHU du Point G de Bamako, Mali. MédecineTropicale et Santé Internationale, 2, 282.
[27]
Faye, B., Mbow, M., Cheikh Seck, M., Mbengue, B., Wade, D., Camara, M., et al. (2016) Evaluation of PIMATM CD4 System for Decentralization of Immunological Monitoring of HIV-Infected Patients in Senegal. PLOSONE, 11, e0154000. https://doi.org/10.1371/journal.pone.0154000
[28]
Namuniina, A., Lutwama, F., Biribawa, V.M., Kizza, D., Kabuubi, B.R., Kitandwe, P.K., et al. (2019) Field Performance of PIMA Point-of-Care Machine for CD4 Enumeration under a Mobile HIV Counseling and Testing Program in Remote Fishing Communities of Lake Victoria, Uganda. AIDSResearchandHumanRetroviruses, 35, 382-387. https://doi.org/10.1089/aid.2018.0223
[29]
Jani, I.V., Sitoe, N.E., Alfai, E.R., Chongo, P.L., Quevedo, J.I., Rocha, B.M., et al. (2011) Effect of Point-of-Care CD4 Cell Count Tests on Retention of Patients and Rates of Antiretroviral Therapy Initiation in Primary Health Clinics: An Observational Cohort Study. TheLancet, 378, 1572-1579. https://doi.org/10.1016/s0140-6736(11)61052-0
[30]
Wade, D., Daneau, G., Aboud, S., Vercauteren, G.H., Urassa, W.S.K. and Kestens, L. (2014) WHO Multicenter Evaluation of FACSCount CD4 and Pima CD4 T-Cell Count Systems: Instrument Performance and Misclassification of HIV-Infected Patients. JAIDSJournalofAcquiredImmuneDeficiencySyndromes, 66, e98-e107. https://doi.org/10.1097/qai.0000000000000214
[31]
Reynolds, S.J., Makumbi, F., Nakigozi, G., Kagaayi, J., Gray, R.H., Wawer, M., et al. (2011) HIV-1 Transmission among HIV-1 Discordant Couples before and after the Introduction of Antiretroviral Therapy. AIDS, 25, 473-477. https://doi.org/10.1097/qad.0b013e3283437c2b
[32]
Holstad, M.M., DiIorio, C. and McCarty, F. (2011) Adherence, Sexual Risk, and Viral Load in HIV-Infected Women Prescribed Antiretroviral Therapy. AIDSPatientCareandSTDs, 25, 431-438. https://doi.org/10.1089/apc.2010.0331