What Does Negative 6 Weeks, 8 Weeks, 10 Weeks, Antibody Elisa Test Suggest?
I m really tensed please help me. I had protected vaginal sex with a sex worker in Dubai . as far as I remember the condom dint come out or tear. And I lasted for about 2 to 3 mins. The condom just din cover my whole penis. And she had given me the condom so I m really tensed. I got tested at 6 weeks 8 weeks 10 weeks for antibody elisa test which came non reactive . at the 9 week mark I had taken the pcr DNA HIV test which came HIV 1 not detected. Please tell me what are my chances that I m safe and when should I get tested now ? Or am I out of complete danger ???
You are out of danger for HIV 1 serotype
Detailed Answer:
Hi XXXX, wish you a best health at health care magic, I am Dr. Arun Tank I am infectious disease specialist I am going to going to solve your querry, hope I can able to answer your query.
-First of all I want to make you tension free that you are out of danger. You have wear a condom that reduce your risk of getting HIV. I think condom had covered whole of your penile mucosa that protect you from getting HIV.
-If you had sex with professional worker, I advice you to contact that sex worker and get her tested. If she is not infected than there is no chance that you got HIV.
-Though you have carried out HIV antibody test at 6,8 &10 weeks it hardly gives reactive result in this much short duration of time only test gives the earliest diagnosis is P24 Antigen assay & HIV DNA PCR assay.
-Your HIV 1 DNA PCR is non reactive that is great news, so you are almost out of danger for HIV 1. But You have not mentioned your HIV 2 Result. HIV 1 & HIV 2 are two different serotypes of HIV virus. I would like to know about the HIV 2 serotype result.
-At 9 weeks HIV DNA PCR gives you confirm diagnosis about HIV so you are out of danger except HIV 2 serotype which you have not mentioned. Though HIV 2 are present in very minority of patients I am eager to know your HIV 2 result.
I hope I am able to answer your query. If you have anything else to ask kindly contact me. If you are satisfied with the answer kindly close the question and rate my answer.
Thank you for your contact to healthcare, we wish you a best health.
HIV2 serotypes are very rare in Asian subcontinent
Detailed Answer:
-Antibody production in initial period is minimal, so it is not detected by the ELISA testing whichever the ELISA third or Fourth generation in initial period. It is usually detected after approximately 6 month period.
-HIV 2 serotypes are very rare in XXXXXXX continent I had seen only 1 case in my four years of career. Theoretically HIV 2 serotypes found mostly in XXXXXXX France and some Portugal areas. So chances with you having HIV 2 is very minimal I can say.
-But as Dubai is a favorite place for tourist many XXXXXXX people also may visit the Dubai. Chances of sex worker infected with the type 2 serotypes is not neglected.
- HIV 2 PCR is even not carried out in our area, but big labs in our area collect and sent samples to the higher laboratory to get tested. They take some time to give results. You can go in that way.
I will be happy to answer if you still have some querry.
Go for P24 antigen assay test
Detailed Answer:
If HIV 2 PCR not available in your area I suggest you to go with P24 antigen assay. This is widely available test, also you have cleared 9 weeks (you have cleared cut of period for P24 antigen assay).
If you have any query I will be happy to answer
I suggest you drlalpathlabs.
Detailed Answer:
Hello, thnx for your query.
-I would like to tell you that I suggest you to go with one of the NABL accredited laboratory in your region. I suggest drlalpathlabs GROUND FLOOR, XXXXXXX APARTMENT, XXXXXXX GHANEKAR ROAD, NEAR SIDDHIVANAYAK MANDIR, OPP. IDBI BANK, PRABHADEVI, DADAR (W)-400 028, XXXXXXX XXXXXXX The link is as follows http://www.lalpathlabs.com/regional-reference-laboratory-Maharashtra.html. I have suggested you a one but you can go to any of the NABL accredited laboratory nearer to you.
-Different Doctors refers different literature and their views are also different. But I follow one of the standards for XXXXXXX that is NACO guideline I am sharing you a link with you. Visit the 6th page on the book it will tell you a much. Different patient has different window period and their response to the HIV is also different. But in our institution we follow that ELISA gives conclusive result in 6 months.
NACO Guidelines link : http://naco.gov.in/upload/Policies%20&%20Guidelines/5-GUILDELINES%20FOR%20HIV%20TESTING.pdf
If you have any query feel free to ask me.
You are free from tension now.
Detailed Answer:
Hello, Good to hear you that you have undergone for both. If it both comes to be negative than you are free from tension. You do not have to test it again.
If you have any query feel free to ask me.
You are Free Fom HIV Risk
Detailed Answer:
Hello, nice to see you again.
-When we test HIV by ELISA we use lysed HIV virus particle to detect antibody against them. In third generation ELISA we used a ultra filter particle. While in 4th generation ELISA it is synthetic peptides which is even more pure than 3rd generation particle.
-You are clear for both now. You are free from danger of HIV. You can move around without tension and can live normal life.
-ELISA is one of the type of EIA; In XXXXXXX we usually using 3rd generation kits, But some laboratory also using a 4th generation kits.
-There are many STD's people may get infected when they sexually exposed. e.g. Hepatitis B, Hepatitis C, Treponoma pallidum, gonorrhea. There is a wide list of organisms which cause STD but I think it is use less to get tested for all. If you want to get tested I suggest you to go for Hepatitis B, Hepatitis C, Treponema pallidum the tests are respectively HbsAg ELISA, HCV ELISA, VDRL/RPR.
If you have anything else to ask kindly contact me without hesitation.
So I m totally cleared from HIV 1 and HIV 2 ? Do I need to test again ever for HIV ?? Or I can move on in life for life time ?? And can I continue having a sexual relationship with my girl friend as I don't want to infect her ? I m really tensed pls help me. I don't know what to do right now. I want to get done with this soon !!
You are all clear dear, do not worry..
Detailed Answer:
Hello XXXX, you are all clear from the HIV 1 and 2 both.
- For this Dubai's exposure you do not want to test again. If you exposed to some other source even after this you have to be get tested for it.
- You can continue your sexual relationship with your girlfriend you wont infect her as you are not infected.
- You are all done with the situation or I can say you are out of all this things.
Do not worry just enjoy your life you are out of danger.....!!!
If anything more I can help you I will be really happy.