Peer-reviewedCC BY-NC-NDOpen forum infectious diseases
Optimizing Preexposure Prophylaxis Adherence: Evaluating Point-of-Care Urine Tenofovir Testing and Tailored Counseling Among Young South African Women
Abstract
Among South African women using oral HIV preexposure prophylaxis, we compared a urine tenofovir point-of-care test with dried blood spot tenofovir diphosphate concentrations for recent vs longer-term adherence and assessed acceptability. The test demonstrated 76% accuracy, 100% sensitivity, and 69% specificity for high adherence (tenofovir diphosphate ≥700 fmol/punch) and was highly acceptable.
Clinical Trials Registration: NCT04038060.
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BibTeX
@article{poovan2026optimizing,
title = {{Optimizing Preexposure Prophylaxis Adherence: Evaluating Point-of-Care Urine Tenofovir Testing and Tailored Counseling Among Young South African Women}},
author = {Nicole Poovan and Jennifer Velloza and Nontokozo H Ndlovu and Allison Meisner and Cole Grabow and Monica Gandhi and Deborah Donnell and Sybil Hosek and Connie Celum and Sinead Delany-Moretlwe},
journal = {Open forum infectious diseases},
year = {2026},
month = nov,
doi = {10.1093/ofid/ofag612},
url = {https://europepmc.org/article/PMC/PMC13728699},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Optimizing Preexposure Prophylaxis Adherence: Evaluating Point-of-Care Urine Tenofovir Testing and Tailored Counseling Among Young South African Women
AU - Nicole Poovan
AU - Jennifer Velloza
AU - Nontokozo H Ndlovu
AU - Allison Meisner
AU - Cole Grabow
AU - Monica Gandhi
AU - Deborah Donnell
AU - Sybil Hosek
AU - Connie Celum
AU - Sinead Delany-Moretlwe
PY - 2026
DA - 2026/11/01
JO - Open forum infectious diseases
DO - 10.1093/ofid/ofag612
UR - https://europepmc.org/article/PMC/PMC13728699
AB - Among South African women using oral HIV preexposure prophylaxis, we compared a urine tenofovir point-of-care test with dried blood spot tenofovir diphosphate concentrations for recent vs longer-term adherence and assessed acceptability. The test demonstrated 76% accuracy, 100% sensitivity, and 69% specificity for high adherence (tenofovir diphosphate ≥700 fmol/punch) and was highly acceptable. Clinical Trials Registration: NCT04038060.
SN - 2328-8957
ER -