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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.
(This is the interim African Region version for persons aged 15 years or more who have had a positive HIV antibody test or other laboratory evidence of HIV infection) (The United Nations defines adolescents as persons aged 10−19 years but for surveillance purposes, the category of adults and adolescents comprises people aged 15 years and over)
Diagram relating pre- and post-test probabilities, with the green curve (upper left half) representing a positive test, and the red curve (lower right half) representing a negative test, for the case of 90% sensitivity and 90% specificity, corresponding to a likelihood ratio positive of 9, and a likelihood ratio negative of 0.111.
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 ...
Counseling focuses on the infection (HIV), the disease , the test, and positive behavior change. VCT has become popular in many parts of Africa as a way for a person to learn their HIV status. VCT centers and counselors often use rapid HIV tests that require a drop of blood or some cells from the inside of one's cheek; the tests are cheap ...
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