Hivfobija je sama po sebi ozbiljna bolest, i to treba da se leči
ELISA 4. generacije sa kombinavanom detekcijom p24 antigena i antitela je praktično posle 6. nedelje definitivna stvar, ali već u 3. nedelji može da se kaže da je rezultat sasvim pouzdan i da se neće promeniti tokom daljeg testiranja.
Preporuke za ta 3 meseca i dalje postoje, ali to je više posledica neujednačenih testova, neko koristi 3. generaciju testova koja detektuje samo antitela i ima manju osetljivost, a ne baš tolike varijabilnosti odgovora organizma na HIV infekciju.
BASHH Statement on HIV window period
15 March 2010
HIV testing using the latest (4th generation) tests are recommended in the BHIVA /
BASHH / BIS UK guidelines for HIV testing (2008). These assays test for HIV
antibodies and p24 antigen simultaneously. They will detect the great majority of
individuals who have been infected with HIV at one month (4 weeks) after specific
exposure.
Patients attending for HIV testing who identify a specific risk occurring more that 4
weeks previously, should not be made to wait 3 months (12 weeks) before HIV
testing. They should be offered a 4th generation laboratory HIV test and advised that
a negative result at 4 weeks post exposure is very reassuring/highly likely to exclude
HIV infection. An additional HIV test should be offered to all persons at 3 months (12
weeks) to definitively exclude HIV infection. Patients at lower risk may opt to wait
until 3 months to avoid the need for HIV testing twice