Handheld Mobile Device Checks Patients’ HIV Status

A handheld mobile device can check patients’ HIV status with just a finger prick, and synchronize the results in real time with electronic health records (EHRs). The technology takes a step toward providing remote areas of the world with diagnostic services traditionally available only in centralized healthcare settings.

In a new study, a team including Curtis D. Chin, PhD, and Yuk Kee Cheung, PhD, designed a device that captures all the essential functions of enzyme-linked immunosorbent assays, the most commonly used laboratory diagnostic for HIV. The authors show that the device performs laboratory-quality HIV testing in 15 minutes using finger-pricked whole blood. The study appears online in the 2013 edition of the American Association for Clinical Chemistry journal Clinical Chemistry.

The device also detects weakly positive samples, and uses cellphone and satellite networks to automatically synchronize test results with patient health records from anywhere in the world. Because of the real-time data upload, this mobile device will allow policymakers and epidemiologists to monitor disease prevalence across geographical regions quickly and effectively. This could improve effectiveness in allocating medications to different communities, and patient care in general.

Of the 34 million people infected with HIV worldwide, 68% of them live in sub-Saharan Africa, with South and Southeast Asia bearing the second greatest burden of disease. Many HIV-infected people in these regions are unable to get tested or treated because they cannot easily travel to centralized healthcare centers. This creates an extreme economic burden on already-poor nations, with the epidemic estimated to cause a 1.5% annual loss in gross domestic product each year for the worst affected countries. It has also created 16.6 million AIDS orphaned children who have lost one or both parents to the disease.

Related Links:
American Association for Clinical Chemistry