How many types of HIV test results are there?

hiv test results
Infectious diseases that currently have no 100% cure, many people are certainly familiar with. That is HIV (Human Immunodeficiency Virus). When a patient is infected, this virus will destroy the immune system, weakening the body gradually. In other words, immune deficiency. If not treated promptly, the body will eventually be unable to resist various germs. Therefore, knowing the HIV test results quickly will be beneficial to the person being tested.
Reducing the risk of HIV infection that doctors recommend is to avoid behaviors that cause infection. Including regular HIV testing to know the HIV test results clearly and deal with the infection quickly if the results are known. For those who have never had an HIV test before, there may be many questions. One of the most popular questions before and after the test
Regardless of the test method, what does each HIV test result mean? And once you know the test results, what should you do next? In this article, we will clear up any doubts. We have compiled the meaning of the test results as well as recommendations for dealing with them after knowing the results, as a guideline for further HIV testing.

How many methods of HIV testing are there?

HIV tests result

Currently, there are 4 types of HIV testing by medical laboratory diagnosis of infection. And 2 types of self-testing HIV kits certified by the World Health Organization that people at risk can test themselves.

HIV p24 antigen testing

HIV testing by detecting HIV antigens from the protein of the virus called p24 can detect the virus in the period when the infected person has been infected for about 2 weeks. This method, doctors will consider from patients who are at risk of HIV infection in the early stages, when the body has not yet created antibodies to the virus (Anti-HIV) or in another case, the person being tested has a low antibody level and cannot be measured.

Anti-HIV testing

HIV testing by detecting specific antibodies to HIV can detect people who have been infected for about 3-4 weeks. It is the most popular HIV screening method currently used.

Fourth Generation HIV Testing or HIV Ag/Ab combination assay

HIV testing by diagnosis from a HIV-specific antibody test kit and HIV antigen test at the same time using the same test reagent can detect the virus within 2 weeks of the infected person entering the body. This method is an HIV test that shows the results of both HIV p24 antigen and/or Anti-HIV values, which is very popular because it saves time and has high screening efficiency.

Nucleic Acid Test (NAT) for HIV

HIV testing by testing for HIV genetic material called Nucleic Acid is a fast and effective test that can detect the results after infection for 3-7 days. However, this method has not been used for screening in hospitals, but is only used for screening blood donors.

HIV testing with HIV Self-Test Kit

HIV self-test kits are an option that many people are interested in because they can be easily tested by yourself, are easy to buy, and you can get blood test results quickly without having to waste time traveling to a hospital for testing. This type of testing is as effective as screening in a hospital, and research has confirmed that it is over 99% accurate. However, it also depends on the appropriate period of testing after passing the risk. Currently, there are 2 types: testing by drawing blood from the fingertip and testing with saliva.

What does the HIV test result mean?

Currently, each HIV test method generally shows test results in 3 formats as follows:

Reactive or Positive

If you receive a Reactive or Positive test result, which is mostly known as “positive blood”, it means that you have HIV in your body. If you go to a hospital, an anonymous clinic or a specialized clinic, the examining doctor will let you choose how you want to receive your blood test results for privacy as desired by the examiner. In this case, if you choose to receive the results as a document sent to your home,
Of course, you must receive treatment promptly. However, you should handle it with knowledge and understanding without panicking because currently, the treatment of HIV-infected people has developed rapidly. By receiving effective antiretroviral drugs and regular check-ups, you can live a normal life no different from other people.
If you receive the HIV test results directly from the examining doctor, the doctor will give advice on how to start receiving treatment in a systematic way. You will receive consultation, questions, and advice to the fullest, which will create more confidence in your treatment. Or if it is a self-test from an HIV test kit, the examiner should undergo a confirmation test by a doctor again, as well as prevent and avoid behaviors that put you at risk of spreading the infection to others.

Non-Reactive or Negative

If you receive a test result that shows Non-Reactive or Negative, which is mostly understood as “selected negative”, it means that you do not have HIV in your body. However, if the test result is negative, the specialist doctor will consider retesting to prevent false negative results that may occur. Because the person being tested is tested during the incubation period of the virus (Window period), which cannot detect the virus but the body has HIV, so the HIV must be tested again, which is 3-6 months.

After the first test, it depends on the doctor’s discretion. But in the case of the person being tested who chooses to use the HIV self-test kit, it is emphasized that do not be careless with the test results received. You should also retest in 3-6 months or, for the most confidence, you should get a confirmation test from a doctor again. However, you should not think that you are 100% free of the virus. You should avoid risky behaviors that affect infection or spread of the virus.

Invalid Result

This test result will only be displayed in the HIV self-test kit. It indicates that the test kit cannot interpret the result or does not show the result due to various factors that make the test kit unable to show clear results, such as some equipment is damaged, not ready for use, blood volume or liquid volume that is too low.
Including the tester may not have followed the steps completely according to the instructions, including errors that may occur during the self-test. The tester should repeat the test with the steps and methods that are in accordance with the instructions or to be confident and prevent errors that may occur again. It is recommended to see a specialist doctor at a hospital, clinic or foundation that provides the service, which will be the best.

What to do after finding out the HIV test results that you are infected

HIV tests result
After knowing the HIV test results and being confirmed by the doctor that you are infected with HIV. The next thing to do is to enter the treatment process continuously and strictly by considering the treatment guidelines from the attending physician. In this regard, patients should act appropriately for the most effective treatment. Including avoiding behaviors that risk spreading HIV to others. The following guidelines should be followed:
  • Understand, study, consult, and ask questions from the doctor as much as possible to build self-confidence. If you are worried that your family members will be alarmed by the test results, your family should listen to the doctor’s advice as well. This will help the treatment go smoothly without worrying that people close to you will stigmatize you negatively.
  • Enter the HIV treatment process as soon as possible according to the doctor’s advice to prevent the virus from spreading to a more severe stage.
  • Strictly follow the doctor’s advice. See the doctor for every appointment, take all medication completely and on time.
  • If you have any abnormal symptoms during treatment, see a doctor immediately to inform them of your symptoms.
  • Eat nutritious food, complete with all 5 food groups, and exercise regularly.
  • Reduce anxiety, do not overthink, and take care of your mental health to be strong. If you need advice, see a doctor or choose to see a psychiatrist for appropriate advice.
  • Avoid behaviors that are harmful to the body, such as drinking alcohol, smoking, and taking all types of drugs. Insufficient rest to reduce the risk of complications that may follow.
  • Those who have a family or partner should consult a doctor about behavior, care, and sexual intercourse or having children by taking antiretroviral drugs continuously.

Aware of the benefits of HIV testing

Being aware of the benefits of HIV testing is one of the most important things. That everyone should do because in addition to being beneficial in reducing the number of people infected with HIV without realizing it, it also protects yourself from unexpected risks. Being complacent that the HIV test result is negative (not infected with HIV) and still behaving in a risky manner will not help you be safe or stay away from HIV.
However, you should always keep in mind that comprehensive prevention in all aspects, including wearing condoms every time you have sex, avoiding contact with various secretions, and getting tested for HIV at least twice a year, will help you stay away from HIV and other infectious diseases as well.

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