Anonymous
Hi, exposure was 9 years ago got a test
2 times first was 6 months ago and second was 1 month ago
Blood was taken in the clinic from right arm by a doctor and was sent to lab and results came in the late evening.
Method written on reports : Serology hiv ( Aids ) Antibody I & II serum I non reactive II non reactive METHOD : RAPID CARD TEST

So this was written on the test I just want to know IS THERE ANYTHING THAT CAN EFFECT THE REAL RESULTS OF THIS TEST AND HOW MUCH RELIABLE IS THIS TEST ? AND DOES THIS MATTER THAT I DID IT AFTER SO MANY YEARS SO SHOULD IT REQUIRES ANY OTHER HIGHER WAY OF TESTING ?

2) IRON DEFICIENCY DOES IT MAKE FALSE NEGATIVE TEST ?

3) I USE TO TAKE FLUDAC AND OTHER ANTI FUNGAL MEDICINES LIKE SPORADOX AND CANDIFORCE, LCZ, FLEXON , CITRAZINE FOR THE TREATMENT OF VAGINAL INFECTIONS AND TOE NAIL FUNGUS ( I SUFFERED FROM VAGINAL INFECTIONS 3 4 TIMES IN YEAR AND ALSO TOE NAIL INFECTION I READ ON GOOGLE THAT THESE ARE THE SYMPTOMS OF HIV BUT AS I TOLD THIS TO MY GYNAECOLOGIST SHE SAID IT CAN BE NORMAL FUNGAL INFECTIONS , IS THERE ANY THING TO WORRY ABOUT HIV FOR ME AFTER I GOT MYSELF TESTED 2 TIMES in 7 MONTHS WITH THIS SAME METHOD I DESCRIBED ABOVE ( I ALWAYS READ ABOUT RAPID METHODS BUT I NEVER CAME ACROSS THIS METHOD USED IN MY CASE IT FREAKS ME OUT IS THIS METHOD RELIABLE AND REAL ? AND PLEASE TELL ME DO I NEED ANOTHER TEST OR HIGHER LEVEL TEST IS IT IMPORTANT TO GO DIRECTLY TO THE LAB AND GET TESTED ??
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Anonymous
Hello and thank you for contacting the AIDS Vancouver Helpline. We are pleased to assist you.

It sounds like you are very tense, but that you have taken every necessary precaution. We noticed that your exposure had been 9 years ago, and that you have received 2 HIV tests quite recently. Guidelines from the British Columbia Centre for Disease Control (BC CDC) consider information about 3rd and 4th Generation tests, and these guidelines suggest the results of all HIV tests can be considered conclusive at 3 months post-exposure (or later). So, if you have had no additional exposures, the results you have already received at 9 years post-exposure, can be considered reliable and conclusive in Canada (and other regions).

1) We would like to let you know that most individuals develop antibodies that tests are able to detect as soon as 21 days to 25 days post-exposure. While HIV testing guidelines may vary by region, and we always suggest following HIV testing guidelines from your local healthcare professional, we can share some information about the reliability of the Rapid HIV tests available in Canada:

The Rapid or "Point of Care" test is reported to detect up to 95% of HIV infections as early as 4 weeks (28 days) to 3 months (84 days) post-exposure. Again, at 9 years post-exposure, the results of this HIV test can be considered reliable and conclusive. The results of an HIV test are equally reliable at the time they would be considered conclusive (e.g. 84 days post exposure), and at 9 years post-exposure if you have had no additional exposures.

2) To our knowledge, your circumstances (e.g. iron deficiency, vaginal infection medications, etc) would not affect the window period of an HIV test. Again, the fact that it has been 9 years post-exposure is a strong indication that your HIV status will not change, without additional exposures. There are only 4 situations that may affect the window period of an HIV test and they are:

A)Treatment for Hepatitis Cb) Treatment for cancer (chemotherapy)

C) P.E.P. treatment for HIV

D) Other immunodeficiency diseases (usually diagnosed during infancy/early life).

Should you identify with any of the 4 above-mentioned situations, we may suggest that you partner with your healthcare professional to confirm when the results of your HIV test can be considered reliable and conclusive. Otherwise, the conventional guidelines for HIV testing that are local to your community may be used to proceed.

3) Based on the information we have received, further HIV testing for your exposure, 9 years ago, is not required. However, we always encourage that all sexually active individuals be tested for all STIs, including HIV regularly to maintain overall health.

We are glad to hear that you have discussed the information you had read online with your local healthcare professional and encourage you to continue doing so since, a local healthcare professional would be best equipped to clarify how this information may apply to you. We trust we have answered your questions and invite you to contact us again in the future. We can also be reached by calling (604) 253-0566 ext 299 for immediate assistance with general inquiries.

Sincerely,

Marta

AIDS Vancouver Volunteer


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