| Recommendation for Screening |
Age: How often: | 13-64 Once as baseline and annually if ongoing risk |
| Other: | Pregnant or risky behaviors |
Note: The interval between baseline and subsequent screenings has not been well-defined. Also, consider an HIV test if: - Starting TB treatment
- Starting another STD treatment
- About to start a new sexual relationship
- Engaging in other high risk behaviors
|
1. What is this test?
This is a blood or oral fluid test test (there are several similar versions) to look for the presence of antibodies to HIV, human immunodeficiency virus. Probably the best known version is the HIV ELISA test. These tests are very good at detecting HIV but can give a false positive result with certain other conditions (lupus, Lyme disease, and syphilis), so if you have a positive result, your doctor will follow this up with another type of HIV test that is more specific.
2. Why do I need this test?
This is a screening test for HIV. Over one million Americans are infected with the HIV virus and about 25% are unaware of this. Untreated HIV infection can lead to early death, increased transmissibility, and a number of severe health problems. Also, if you are pregnant, the virus can be transmitted to your unborn baby and treatment can prevent this from occurring.
3. How is this test done?
Depending on which version of the test you get, the specimen will either be blood from a vein, blood from a finger pinprick, or oral fluid obtained by swabbing the gums. Many sites offer HIV testing including hospitals, clinics, laboratories, and doctors’ offices. There is also a home test that requires you prick your finger and put a drop of blood on a test card which is then sent to a laboratory for testing.
4. Are there any special instructions for this test?
If your initial test is negative, it means that you don’t have the antibody to HIV, but you might still have early HIV infection. This period after infection, but before you make antibodies, is called the "window" and may last anywhere from 2-12 weeks. If you and your doctor think you might be in this "window" period, other tests can be done to see if you have HIV. If your test is positive, you will have to get a second test to see if you really have HIV.
5. Risk factors
- Homosexual men
- Intravenous drug abuser, especially if needles are shared
- Multiple sex partners, especially those paid for sex
- Kaposi’s sarcoma
- Pneumocystis carinii pneumonia
- Presence of other sexually transmitted diseases
- People who handle blood or body fluids in their work
- Hemophiliacs
- People who had blood transfusions before 1985
- People with ear/body piercing or tattoos who had this done without proper cleaning and sterilization precautions
- Infants of mother with HIV
- People with Tuberculosis
Citations
- Branson BM, Handsfield, HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, Clark JE. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. September 22, 2006. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5514a1.htm.
- "ELISA/Western blot tests for HIV." Medline Plus. A Service of the U.S. National Library of Medicine and the National Institutes of Health. June 2009. http://www.nlm.nih.gov/medlineplus/ency/article/003538.htm.
- Greenwald JL, Burstein GR, Pincus J, Branson B. A rapid review of rapid HIV antibody tests. 2006. www.cdc.gov/hiv/topics/testing/resources/journal_article/pdf/rapid_review.pdf.
- "HIV/AIDS Statistics and Surveillance." U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. February 2011. http://www.cdc.gov/hiv/topics/surveillance/basic.htm.
- "Testing Yourself for HIV-1, the Virus that Causes AIDS-Home Test System is Available." U.S. Food and Drug Administration. June 2010. http://www.fda.gov/CBER/infosheets/hiv-home.htm.
- "Risk factors for HIV infection." WebMD. February 2009. http://www.webmd.com/hw/health_guide_atoz/aa124835.asp.
- "Screening for Human Immunodeficiency Virus Infection." Agency for Healthcare Research and Quality. U.S. Department of Health & Human Services. April 2007. http://www.uspreventiveservicestaskforce.org/uspstf/uspshivi.htm.
- "Basic Information about HIV and AIDS." Centers for Disease Control and Prevention. August 2010. http://cdc.gov/hiv/topics/basic/index.htm#prevention.
- "Preventative Screening Tests and Immunizations." U.S. Department of Health and Human Services. February 2011. http://www.womenshealth.gov/prevention/general/index.cfm.
- "Preventive Screening Tests and Immunizations." U.S. Department of Health and Human Services. March 2011. http://www.womenshealth.gov/prevention/men/.
Created: 7/2/2007
Last Modified: 4/14/11