Patient's Query
Hello doctor,
I had cunnilingus with an escort. After this encounter, I had an RNA PCR test at 15 days and anti-HIV 1 and 2 as well as a p24 antigen test after two, four, six, eight, and 11 weeks. All the results were negative. But, while some websites say that the result is conclusive after eight weeks, some of them say 12 weeks is conclusive. Please tell me if my negative result can change or not.
Kindly help.
Hello,
Welcome to icliniq.com.
I have gone through your query and have noted your concern. Human immunodeficiency virus antibody screening tests are highly sensitive at four weeks and thereafter. It accurately detects the majority (95% sensitivity) of HIV-infected patients. However, in case of a high-risk exposure such as unprotected vaginal, anal, or oral sex with a sex worker, it is advisable to retest at 12 weeks (99.9 % sensitive). The 12-week result is taken as conclusive, although it is very rare that a negative result at four weeks would change to positive at 12 weeks.
I hope this helps.
Patient's Query
Hello doctor,
Thanks for the reply. But, as you know, I had my last anti-HIV 1 and 2 as well as the p24 antigen test at 11 weeks. So, is there any possibility that the result can change in a matter of seven days?
Kindly suggest.
Hello,
Welcome back to icliniq.com.
I do not think that it would turn positive so late. I have never seen that happen in my experience in healthy adults with an intact immunity. As I said, most of the HIV-infected individuals will have a positive anti-HIV screening test by three to four weeks, and only very rarely the antibody response is delayed, for example, in immunocompromised states or those on immunosuppressive drugs (steroids). Therefore, a negative screening test at four weeks and any subsequent negative tests over the ensuing weeks should be followed up by a final 12-week screening test for HIV antibodies for a conclusive result to cover for those rare late seroconverters. Only a negative third-generation screening test for HIV antibody at 12 weeks is considered conclusive because those rare few individuals with immunodeficiency or on immunosuppressive treatment may develop a delayed antibody response by 12 weeks.
I hope this helps.
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Answered byDr. Kakkar
Medically reviewed byiCliniq medical review team
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