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The eclipse period is a variable period starting from HIV exposure in which no existing test can detect HIV. The median duration of the eclipse period in one study was 11.5 days. The window period is the time between HIV exposure and when an antibody or antigen test can detect HIV. The median window period for antibody/antigen testing is 18 days.
It is an approach for use in resource limited settings and is widely used in Africa and Asia and has been a useful research tool in studies of progression to symptomatic HIV disease. [2] Following infection with HIV, the rate of clinical disease progression varies enormously between individuals.
The window period for HIV may be up to three months, depending on the test method and other factors. RNA based HIV tests has the lowest window period. Modern and accurate testing abilities can cut this period to 25 days, 16 days, or even as low as 12 days, again, depending on the type of test and the quality of its administration and interpretation.
Then other factors might come into play, if those individuals had no other exposures to the confirmed HIV pos individual during the last exposure and test, if they have been abusers of drugs, if they are immunosup. therapy, if they had PEP, if they have a co-infection etc etc. 12 weeks should be enough, its ok to test in the window period 6 wks ...
Long-term nonprogressors (LTNPs), are individuals infected with HIV, who maintain a CD4 count greater than 500 without antiretroviral therapy with a detectable viral load. [1] Many of these patients have been HIV positive for 30 years without progressing to the point of needing to take medication in order not to develop AIDS.
Simple illustration of the effects of excess antigen and dosage response curve. Examples include high levels of syphilis antibodies in HIV patients or high levels of cryptococcal antigen leading to false negative tests in undiluted samples. [7] [8] This phenomenon is also seen in serological tests for Brucellosis.
In fact, post-test probability, as estimated from the likelihood ratio and pre-test probability, is generally more accurate than if estimated from the positive predictive value of the test, if the tested individual has a different pre-test probability than what is the prevalence of that condition in the population.
Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.