{"doi":"10.1093/infdis/jiaa343","title":"Challenges of Discrepant HIV Tests in Pregnant Women in the PrEP era—to Treat or Not to Treat?","abstract":"BACKGROUND: During HIV retesting in antenatal and preexposure prophylaxis (PrEP) care, discrepant results occur, but guidelines are lacking. METHODS: In a Kenyan trial implementing antenatal PrEP, if 1 test is reactive, a second is performed; if discrepant, both are repeated; if persistently discrepant, DNA polymerase chain reaction (PCR) is performed. RESULTS: Among 4451 women, 23 265 HIV retesting sessions were performed; 14 (0.06%, 95% confidence interval, 0.03%-0.10%) had discrepant results among 10 individuals; in all 10 initial cases, PCR was negative. CONCLUSIONS: Discrepant rapid tests are an expected, rare, and important challenge for antenatal care HIV retesting, with and without PrEP. CLINICAL TRIALS REGISTRATION: NCT03070600.","journal":"The Journal of Infectious Diseases","year":2020,"id":112403,"datarank":0.3181893008165723,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.11024514664858871,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.11024514664858871,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":2,"citers_with_citation_signal":2,"citers_with_endowment":2,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9594,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT03070600"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":299054,"name":"John Kinuthia","orcid":"0000-0001-6571-8927","position":1,"is_corresponding":false},{"id":404956,"name":"Julia C. Dettinger","orcid":"0000-0002-9130-2666","position":2,"is_corresponding":false},{"id":505611,"name":"Nancy Mwongeli","orcid":null,"position":3,"is_corresponding":false},{"id":530819,"name":"Laurén Gómez","orcid":"0000-0003-2731-0781","position":4,"is_corresponding":false},{"id":531894,"name":"Salphine Watoyi","orcid":"0000-0002-9085-1663","position":5,"is_corresponding":false},{"id":315410,"name":"Alison L. Drake","orcid":"0000-0002-4178-7706","position":6,"is_corresponding":false},{"id":324845,"name":"Felix Abuna","orcid":null,"position":7,"is_corresponding":false},{"id":299045,"name":"Jillian Pintye","orcid":"0000-0003-1255-7191","position":8,"is_corresponding":false},{"id":532830,"name":"Ben Ochieng","orcid":null,"position":9,"is_corresponding":false},{"id":405919,"name":"Daniel Odinga","orcid":null,"position":10,"is_corresponding":false},{"id":299048,"name":"Grace John‐Stewart","orcid":"0000-0002-4301-1573","position":11,"is_corresponding":false},{"id":299060,"name":"Jared M. Baeten","orcid":"0000-0001-8242-8438","position":12,"is_corresponding":false},{"id":299047,"name":"Anjuli D. Wagner","orcid":"0000-0002-5851-1220","position":0,"is_corresponding":true}],"reference_count":11,"raw_metadata":null,"created_at":"2026-07-18T23:13:13.874980Z","pmid":"32561928","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}