HIV and AIDS
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Hello and welcome to JA. Dr Saleem here. Will be answering you shortly
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Well i am sorry to hear about that but PCR for HIV RNA has a diagnostic accuracy of about 98.99 % which is really quite high. Did you start PEP within 72 hrs of unprotected intervourse?
Yes i am sorry to say that but its like that ,its positive.
Further tests include tests for CD4 cell counts which decrease alarmingly with time in HIV. Disease monitoring is usually done with the help of HIV viral load and CD4 cell counts periodically. You will need to see your doctor for advice on starting ART for HIV in future
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As i understand the 4th Generation test and 3rd Gen test were done at 6 weeks post exposure? Well it can take time for antibodies against HIV to form .Most HIV specialists consider this test to be conclusive at 6 weeks but official HIV testing guidelines still recommend re-testing at 12 weeks for conclusive results. Conclusive at 3 months post exposure.
PCR detects genetic material so its pretty accurate usually and detect the RNA pretty early post exposure so you need a retest with 4th gen test at 3 months post exposure for confirmation.
Hope it helped
As i mentioned PCR for HIV RNA is usually quite accurate ,i am afraid a retest would make no difference. However a retest 4th Generation test is recommended. For your own peace of mind you may get a repeat PCR but thats not medically indicated.
Both are equally conclusive actually. If found positive PCR has an accuracy of about 98-99% .
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Yes thats what i recommended you too ,repeat 4th generation test, thats how HIV guidelines are. 4th Gen test detect both p24 antigen and HIV antibodies so thats the reason they recommend confirmation despite diagnostic accuracy of PCR
Ohk thats great, happy for you. It must have been a lab quality error
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