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Diagnosing HIV Infection

A diagnosis of infection with HIV can be made by several different kinds of assays, include virus culture, PCR, and antibody testing. In most cases HIV infection is diagnosed by demonstrating the presence of specific antibodies in the blood.

On average, antibodies against HIV become detectable in patients with acute HIV-1 infection approximately 25 days after infection; by 12 weeks nearly all infected individuals are HIV antibody positive (28; 29). (The process of developing antibodies to a virus is termed seroconversion, and individuals who become antibody-positive are sometimes called seroconverters.)

Testing for HIV antibodies is a two-stage process: sera that give a positive reaction by an initial screening assay are retested to exclude the possibility of clerical or laboratory error; repeatedly reactive sera are then tested by a confirmatory assay to verify that reactive antibodies are directed against HIV antigens. Assays have been developed for detection of HIV antibodies in serum, whole blood, saliva, urine, and dried blood collected on filter paper.

4/15/01

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