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Ecila Test Weakly Positive. Does That Indicate HIV?

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Posted on Tue, 28 May 2013
Question: Hi doctor,
I'm 32 yr old ,married 2 children ( Single partner and I think i have No risk for HIV infection )
Today I went to check AntiHiV for my insurance, My ECLIA came weakly positive ( 1.4) But ELISA ,GPA,HIV ag came negative.
1.Is it means I have got HIV infection..
2.Should I get further blood test and when should I do.
3.I have got Influenza A infection last 2 months,Is it related to ECLIA test?
thank you very much

Mr.XXXXXX
doctor
Answered by Dr. Dr. Ivan Romich (45 minutes later)
Hi sir and welcome to XXXXXXX
Many people are confused with HIV testing, but first you dont have to worry, you are HIV negative. Yes, influenza infection or vacciantion can cause false posiitve ECLIA and ELISA both as well as hepatitis B vacciantion.
It is considered that even highly postive ECLIA in combination with negative ELISA means negative result.There are many reported cased of false positive ECLIA and this test isnt very reliable.

So the fact is that reactive/positive screening ECLIA is only a preliminary result and requires a positive ELISA/WB before the combined results are labeled "positive". If you want to be sure you can repeat this test after 8-10 weeks.
WIsh you good health. If you have any question I ll be glad to help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ivan Romich (23 hours later)
Thank you Dr XXXXXXX Romic ,

May I ask one more question about timing of next blood test?

The hospital tell me to check ECLIA,ELISA,HIV Ag again next two weeks.My questoin is
1.Is two weeks is enough for confirmation test?
2.Can you tell me how many percent that I got HIV infection now? ( I think I'm not expose to risk of HIV) If the chance is very low ,Should I decide not to do the second confirmation test ,I means Do you think the confirmation test is necessory for me?

Thank you again
Mr XXXXXX
doctor
Answered by Dr. Dr. Ivan Romich (2 hours later)
Hi.
It is enough but usually it is done after 3-4 weeks.
ELisa is not considered 100% accurate(almost 99.5%) but in combination with western blot it is 100%.
I dont see some reasons for confirmation tests but people usually do it for their satisfaction. In practice it is recommended to do confirmation and repeated tests after ELISA negative, when it is proved that patient had intercourse with HIV +.
The possibility that you had contact with HIV+, and that you had false negative ELISA is negligible. SO this is your choice will you repeat those tests but I dont think this is necessary.
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13888 Questions

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Ecila Test Weakly Positive. Does That Indicate HIV?

Hi sir and welcome to XXXXXXX
Many people are confused with HIV testing, but first you dont have to worry, you are HIV negative. Yes, influenza infection or vacciantion can cause false posiitve ECLIA and ELISA both as well as hepatitis B vacciantion.
It is considered that even highly postive ECLIA in combination with negative ELISA means negative result.There are many reported cased of false positive ECLIA and this test isnt very reliable.

So the fact is that reactive/positive screening ECLIA is only a preliminary result and requires a positive ELISA/WB before the combined results are labeled "positive". If you want to be sure you can repeat this test after 8-10 weeks.
WIsh you good health. If you have any question I ll be glad to help.