Welcome, Guest. Please login or register.
April 24, 2024, 07:54:12 pm

Login with username, password and session length


Members
  • Total Members: 37651
  • Latest: Toropi_
Stats
  • Total Posts: 773288
  • Total Topics: 66348
  • Online Today: 795
  • Online Ever: 5484
  • (June 18, 2021, 11:15:29 pm)
Users Online
Users: 1
Guests: 737
Total: 738

Welcome


Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Do I Have HIV?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Welcome to Do I Have HIV?

Welcome to the "Do I Have HIV?" POZ forum.

This special section of the POZ forum is for individuals who have concerns about whether or not they are HIV positive. Individuals are permitted to post up to three questions or responses in this forum.

Ongoing participation in the "Do I Have HIV?" forum (posting more than three questions or responses) requires a paid subscription, with secure payments made via PayPal.

A seven-day subscription is $9.99, a 30-day subscription is $14.99 and a 90-day subscription is $24.99.

Anyone who needs to post more than three messages in the "Do I Have HIV?" forum -- including past, present and future POZ Forums members -- will need to subscribe, with secure payments made via PayPal.

There is no charge to read threads in the "Do I Have HIV?" forum, nor will there be a charge for participating in any of the other POZ forums. In addition, the POZ Basics "HIV Transmission and Risks" and "HIV Testing" basics, will remain accessible to all.

NOTE: HIV testing questions will still need to be posted in the "Do I Have HIV?" forum; attempts to post HIV symptoms or testing questions in any other forums will be considered violations of our rules of membership and subject to time-outs and permanent bans.

To learn how to upgrade your Forums account to participate beyond three posts in the "Do I Have HIV?" Forum, please click here.

Thank you for your understanding and future support of the best online support service for people living with, affected by and at risk for HIV.

Author Topic: DNA/PCR Subtype Accuracy  (Read 3948 times)

0 Members and 1 Guest are viewing this topic.

Offline siamdreams72

  • New Member
  • Posts: 1
DNA/PCR Subtype Accuracy
« on: April 19, 2011, 07:49:06 pm »
60 days ago i had unprotected sex with a female CSW in Thailand.  Immediately upon return to my homeland, i had a full panel STD test performed (approx 5 days after possible exposure) and all results came back negative, with the exception of HSV 1 (which i was born with).    Approx 1 week later i briefly experienced some horrible nightsweats (bed sheets were soaked and i had to change bed clothes several times throughout the night).  Within a few days i began to show stereotypical ARS symptoms (malaise, muscle aches, swollen lymph glands, mild headache, sore throat, etc).  Taking into consideration the climate in the area i live in was quite cold at the time these symptoms occured, i attributed them to a pretty harsh flu bug that was going around, but i was still a bit concerned.     
These particular symptoms occured approx 3 weeks after exposure & lasted for about a week. 
Just before the symptoms went away i had another ora-sure test performed, as well as an additional full panel STD test (30 days after possible exposure) which all came back negative (except HSV1).  At that point, i was still experiencing mild swelling of my lymph glands, malaise, muscle aches & a constant pain in my groin. 
At 45 Days from possible exposure, i opted to take a 4th Gen DNA/PCR and an Elisa/Western Blot confirmation test.  Results came back negative. 

I've read every post under this particular topic & I'd like to make a few points before i get to my question:

- I understand the danger behind my risky behavior and have no intentions on EVER partaking in such behavior again.  No need to remind me, please.

- i understand that protected sex is an ABSOLUTE MUST, whether it's a CSW or not.

- I understand a doctor CANNOT diagnose HIV via symptoms, and furthermore a forum moderator can't diagnose HIV via symptoms, via the web.  No need to mention that point either. 

- I've read quite a bit in regards to various HIV Subtypes that exist around the world, particulary subtype AE which is predominant in SE Asia (primarily Thailand).  This subtype is well documented and i have no interest in arguing with a moderator in regards to it's existence.

- I'm familiar with the seroconversion window (med - 22 days), but have read in this forum that some subtypes have a substantially longer seroconversion window then HIV 1, subtype B.  Subtype AE, falls in this category.     

- I'm fully aware of the possibility of false positives when it comes to the DNA/PCR which is why it's not a recommended sole diagnostic test, so no point needs to be made in that regard.

My questions are: 

What is the probability of a false negative at 45 days with a DNA/PCR? 
Will a 4th Gen DNA/PCR at 45 days pick up Subtype AE? 
Is there any truth to the lengthened duration of the sero-conversion window when it comes to HIV-1 Subtypes?  Particularly AE?
Being that my initial symptoms came & gone prior to taking the DNA/PCR, in the event i did have the virus, would it be at detectable levels by then?  Or is that something that would be purely speculative?   
I do plan on taking a 13 week follow up (Ora-sure), but based on the negative results of the DNA/PCR should i be concerned?

I'd like to thank you for the courteous and non-condescending reply in advance. 


Offline Matty the Damned

  • Member
  • Posts: 12,277
  • Antipodean in every sense of the word
Re: DNA/PCR Subtype Accuracy
« Reply #1 on: April 19, 2011, 08:13:14 pm »
Quote
- I'm familiar with the seroconversion window (med - 22 days), but have read in this forum that some subtypes have a substantially longer seroconversion window then HIV 1, subtype B.  Subtype AE, falls in this category.     

Could you link to where you read that in these forums? That would be helpful.

Quote
I'd like to thank you for the courteous and non-condescending reply in advance.

Ditch the attitude, it's not gonna get you far around here.

MtD


Offline Andy Velez

  • Global Moderator
  • Member
  • Posts: 34,126
Re: DNA/PCR Subtype Accuracy
« Reply #2 on: April 19, 2011, 08:26:18 pm »
The DNA PCR was never intended to be used as a diagnostic test. The good news in all of your details is that negative test result at 45 days. The average time to seroconversion is 22 days. All but the smallest number of those who are going to seroconvert will do so within 4-6 weeks after an exposure. You had a single possible exposure (unless you had unprotected intercourse multiple times).

It's significantly harder to transmit HIV from female to male than the other way around. All of this with your negative result points to the likelihood that you will continue to test negative at 3 months.

As for your symptoms, there is nothing HIV specific about them. If they continue you should discuss them with your doctor.

All in all I expect you to continue to test negative.
Andy Velez

 


Terms of Membership for these forums
 

© 2024 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.