Estimation of the Prevalence of HIV, Hepatitis C and Hepatitis B Infection Among Detainees in the Nîmes Administrative Detention Center

Study Overview
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Brief Summary
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People in Administrative Detention Centers often come from areas of medium or high HIV, hepatitis C & B endemic, and are often unaware of their serological status. Currently, HIV, hepatitis C & B screening is not systematically performed at the CRA of Nîmes, and when performed, serological tests are used. The main disadvantage of this method is the length of time it takes to obtain the results, with subjects frequently discharged before receiving their results. To improve the care of these vulnerable persons, the aim of this study is to estimate the prevalence of HIV, hepatitis C and hepatitis B in the detainees of the administrative detention center of Nîmes, by systematically screening with a rapid diagnosis test. In case of a positive rapid diagnosis test test, a serology test will confirm the rapid diagnosis test result.

Official Title
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Estimation of the Prevalence of HIV, Hepatitis C and Hepatitis B Infection Among Detainees in the Nîmes Administrative Detention Center

Conditions
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Hepatitis C, HIV Infections, Hepatitis B

Intervention / Treatment
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* Diagnostic Test: Rapid diagnosis test against HIV and hepatitis C and B


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patient must have given their free and informed oral consent Patient detained in the Nîmes Administrative Detention Center Exclusion Criterion • It is impossible to give the subject informed information

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Detainees in an Administrative Detention Center<br> | Diagnostic Test: Rapid diagnosis test against HIV and hepatitis C and B<br>* combined Insti VIH® + Toyo VHC®, then First response Ag Hbs tested on capillary blood sample<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of HIV infection in detainees at the Nîmes Administrative Detention Center | Rapid diagnosis test: Positive/negative | Inclusion | 
| Prevalence of Hepatitis C infection in detainees at the Nîmes Administrative Detention Center | Rapid diagnosis test: Positive/negative | Inclusion | 
| Prevalence of Hepatitis B infection in detainees at the Nîmes Administrative Detention Center | Rapid diagnosis test: Positive/negative | Inclusion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of co-infections between HIV, Hepatitis C and Hepatitis B | Yes or no for co-infection (HIV-Hep C / HIV-Hep B / HepC-HepB / Hiv-HepC-HepB) | Inclusion | 
| Participant country of origin | Country name | Inclusion | 
| Knowledge of HIV, Hep C and Hep B status | Yes/no | Inclusion | 
| Participant previous transfusion | Yes/no | Inclusion | 
| Intravenous drug use | Yes/no | Inclusion | 
| Intranasal drug use | Yes/no | Inclusion | 
| Shared drug paraphernalia | Yes/no | Inclusion | 
| Non-protected sexual activity | Yes/no | Inclusion | 
| Participant with piercings | If yes, professional done or not | Inclusion | 
| Participant with tattoos | If yes, professional done or not | Inclusion | 
| Feasibility of screening | % of subjects with available samples (ie no subject refusal, subjects arriving at weekend or holiday, study not offered on a weekday, technical problem with test interpretation) | End of study (1 year) | 
| Acceptability of the screening | % of subjects giving samples | End of study (1 year) |