Although HIV antibody testing is widely used to find HIV . Accessed January 2016. MedlinePlus Medical Encyclopedia [On-line information]. Once the puncture site is prepared, a needle is gently inserted into the vein. Nevertheless, an undetectable viral load in someone who has a diagnosed HIV infection does not mean that your HIV infection is cured. Updated June 15, 2020. HIV Disease. Available online at http://aidsinfo.nih.gov/contentfiles/lvguidelines/AdultandAdolescentGL.pdf. Nearly 40% of new HIV infections are transmitted by people who dont know they have the virus. The HIV-1-quantitative-viral-load test is the common lgE blood test in which a small amount of blood sample is required for checking the HIV viral load in the patient's blood. Skip to main content. Updated March 9, 2021. Western Blot Test (WBT) This test is used as a confirmatory test. What is viral load? An HIV viral load test is typically ordered with a CD4 count when you are first diagnosed with HIV infection as part of a baseline measurement. Monogram provides viral load reflex testing options to facilitate this process. Others will depend on whether you are stable on HIV treatment and doing well. Medscape Infectious Diseases. Your questions will be answered by a laboratory scientist as part of a voluntary service provided by one of our partners, American Society for Clinical Laboratory Science. Ending the HIV Epidemic in the U.S. is our nations bold plan to end the HIV epidemic in the U.S. by 2030. J Clin Virol (2011), doi:1016/j.jcv.2011.09.026. An antibody/antigen test that uses blood taken from a vein can find HIV 18-45 days after youre exposed to the virus. CD4 cells are infection-fighting cells in your immune system. The most advanced stage of an HIV infection is called acquired immunodeficiency syndrome (AIDS). PDF available for download at http://www.arupconsult.com/Algorithms/HIVInfants.pdf. It could take as long as 6 months for you to have enough antibodies to get a positive result on some tests. Accessed September 27, 2021. https://clinicalinfo.hiv.gov/en/guidelines/adult-and-adolescent-arv/plasma-hiv-1-rna-viral-load-and-cd4-count-monitoring, US Department of Health and Human Services. The HIV viral load may also be used to help determine whether the virus infecting you has become drug-resistant. Enter your ZIP code to find HIV testing, PrEP, care and treatment, and other HIV-related services near you. HIV viral load (or HIV RNA). Updated May 13, 2021. Automated hiv-1 viral load testing procedure for dried spots Download PDF Info Publication number WO2016007709A1. This is also called "HIV proviral DNA.". Human immunodeficiency virus (HIV) is the virus that causes HIV infection. Available online at http://www.emedicine.com/med/TOPIC24.HTM. This information also highlights the importance of routine HIV testing and its potential impact on better health outcomes. This test should be done 2 to 8 weeks after you're diagnosed with HIV and then every 3 to 4 months during long-term therapy. People typically take at least three drugs from two different classes in order to prevent or minimize virus replication and the emergence of drug-resistant strains. Available online at http://stacks.cdc.gov/view/cdc/23447. Xpert HIV-1 Viral Load is a quantitative test that provides on-demand molecular testing. 21st ed. Accessed September 27, 2021. https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-life-cycle, US Department of Health and Human Services. Mayo Clinic Staff (2008 August 9). Use this data visualization tool to track our collective progress toward meeting Ending the HIV Epidemic initiative goals. It can find antibodies (proteins your immune system makes when youve been exposed to the virus) 23-90 days after infection. Not for diagnostic testing. Accessed on 10/30/08. Please allow 2-3 business days for an email response from one of the volunteers on the Consumer Information Response Team. HIV viral load tests are used to diagnose recent HIV infection and guide your treatment choices. Some health conditions and vaccinations may cause a temporary change in a patients HIV viral load, so patients should tell their doctor about recent illness, outbreak of herpes simplex, or vaccinations. False-negative test results. Accessed on January 2016. Bennett, N. and Rose, F. (2008 October 22, Updated). These also look for HIV antibodies, but they arent as accurate as other tests that check either your blood or oral fluid. HIV antibodies temporarily suppress the HIV viral load. Updated October 15, 2020. Decisions regarding changes in antiretroviral therapy are guided by monitoring changes in plasma HIV-1 viral load . HIV is still in your body and will rebound to detectable if you stop taking HIV medicine. Infectivity Rises with Plasma Viral Load. Higher viral load can have different . Taking HIV medicine called pre-exposure prophylaxis(PrEP) is highly effective for preventing HIV. If you dont feel comfortable going to your regular doctor, consider testing by a nonprofit group or community health center. Medscape Reference [On-line information]. Low HIV viral loads that are consistently less than 200 copies/mL indicate that the virus is adequately suppressed and that the risk of disease progression is low. The health care professional ties an elastic band around the upper arm to increase pressure and cause the veins to swell. Accessed September 27, 2021. https://www.uptodate.com/contents/switching-antiretroviral-therapy-for-adults-with-hiv-1-and-a-suppressed-viral-load, Wood BR. Accessed February 2012. Monitoring of viral load may also be helpful in making or altering . (2008 September, Updated) HIV and Plasma Viral Load Testing. 2,3 Unsuppressed VL count (>1000 . If you had a lab test, more detailed tests of your blood can confirm your diagnosis: A positive HIV test doesnt mean you have AIDS, the most advanced stage of the disease. These particles are otherwise called as copies. 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[On-line information]. Studies show that the sooner people start HIV treatment after diagnosis, the more they benefit. Accessed September 27, 2021. https://clinicalinfo.hiv.gov/en/glossary/cd4-count, US Department of Health and Human Services. Accessed October 2020. Accessed January 2016. You need to take them within 72 hours (3 days) after exposure. A positive HIV viral load suggests acute HIV infection. Over time, the immune system can become so weakened that the disease begins to affect the bodys ability to fight infections and certain types of cancer. (Read the HIV Infection and AIDSarticle for more details.). In the early stages of infection, there may not be any noticeable signs or symptoms of disease or only flu-like symptoms, although the virus is usually present in high amounts. Available online at http://www.arupconsult.com/Topics/HIV.html?client_ID=LTD. If you don't get to a doctor in time to get PEP, ask your doctor about getting tested for HIV. For a lab test, you might need to call your doctor to schedule it. What to Expect at Your First HIV Care Visit, Viral Suppression and Undetectable Viral Load, Tips on Taking Your HIV Medication Every Day, Other Health Issues of Special Concern for People Living with HIV, Coronavirus (COVID-19) and People with HIV, Prior National HIV/AIDS Strategies (2010-2021), AHEAD: Americas HIV Epidemic Analysis Dashboard, Activities Combating HIV Stigma and Discrimination, U.S. Government Global HIV/AIDS Activities, National Women and Girls HIV/AIDS Awareness Day, National Asian & Pacific Islander HIV/AIDS Awareness Day, National HIV/AIDS and Aging Awareness Day, National Gay Men's HIV/AIDS Awareness Day, National Ryan White Conference on HIV Care & Treatment, AIDS 2020 (23rd International AIDS Conference Virtual), lower your risk of passing HIV to your baby, Just Diagnosed: Next Steps After Testing Positive for HIV, Just Diagnosed: Understanding Your Laboratory Tests, Form Approved OMB# 0990-0379 Exp. There are three types of HIV tests: antibody tests, antigen/antibody tests, and nucleic acid tests (NAT). WebMD does not provide medical advice, diagnosis or treatment. Your treatment will then likely be modified. HIV in Primary Care. This test can tell if a person has HIV or how much virus is present in the blood (HIV viral load test).A NAT can detect HIV sooner than other types of tests. There should be at least a 1.0-log decrease in the viral load within 8 weeks of the start of therapy. Harris, N. et. HIV causes AIDS. An HIV RNA test is performed in babies instead of standard screening HIV antibody tests because antibodies to HIV produced by the mother can cross the placenta and enter the baby's blood. Recommendations on the Indications and Frequency of Viral Load and CD4 Count Monitoring. al. Objectives: To review compliance of viral load (VL) testing with national guidelines and suppression rates during pregnancy and up to 9 months postpartum among WLHIV delivering in four tertiary hospitals in Gauteng Province, SA. Date unknown. It is recommended that all individuals diagnosed with HIV infection receive antiretroviral treatment as soon as possible, including pregnant women. Repeat testing done on a second blood specimen is done to confirm the diagnosis. Date unknown. Laboratory Assays for Diagnosis and Monitoring of HIV Infection. Urine test results could take up to 2 weeks. Vital Signs: Status of Human Immunodeficiency Virus Testing, Viral Suppression, and HIV Preexposure Prophylaxis - United States, 2013-2018. After several years and without treatment, the immune system can become so weakened that the disease begins to affect your ability to fight infections and certain cancers. Its most often used to see how people who already have HIV respond to treatment. Antiretroviral treatment (ART) is treatment for HIV used to suppress the virus and to prevent HIV from advancing to AIDS. While the results of a single HIV viral load test are important in diagnosing HIV, guiding treatment, and patient monitoring, changes in a patients viral load over time may provide more information than a single test result. 224 Park Ave. Frankfort, MI 49635 231-352-2200 Open in Map Learn More The recommended screening test for newborns, however, is an HIV RNA test (see next question). (Sep 3, 2015) AIDS.gov. Even if your test is negative, your partner can still have the virus. Thus, a drop in CD4 count makes one prone to infections . It also sometimes happens in people taking antiretroviral medicine for PrEP or PEP. Otherwise, its very rare to get a false negative after the window period. In: Paul ME, eds. Thank you for taking the time to confirm your preferences. Clinician resources on routine screening, how to ask patients about their sexual health, and partner notification. Medical Encyclopedia. Evaluation of an alternative HIV diagnostic algorithm using specimens from seroconversion panels and persons with established HIV infections. HIV treatment reduces the amount of HIV in the blood (called viral load), reduces HIV-related illness, and prevents transmission to others. An increasing viral load indicates either that your infection is getting worse or that your virus has developed resistance to the drugs that are being used for therapy and are no longer effective. If its been 3 months or less since you might have been infected and your test result is negative, get another test at 6 months to be sure. 2005 - 2022 WebMD LLC. Updated August 16, 2021. Molecular Business Strategies, Birmingham, MI. HIV causes AIDS, and this test is used to see how well your HIV treatment is working. 2022 TESTING.COM. That means the test says you dont have HIV, but you do. Diagnosis of HIV Infection in Infants and Children. HIV: Protecting Others. But if you have a new infection, even if you got it in the past few months, the test wont be as reliable. Just rub a swab in the area between your gums and teeth to collect a sample of oral fluid (it isnt the same as saliva) for antibodies against HIV. Accessed September 27, 2021. https://www.uptodate.com/contents/selecting-antiretroviral-regimens-for-treatment-naive-persons-with-hiv-1-general-approach, Sax PE. A blood sample drawn from a vein in your arm. Masciotra, S. et. Accessed on January 2016. Chan, P. and Maynard, M. (2019 May 9, Updated). Pp. Physicians use it for: Diagnosing HIV if antibody tests are inconclusive. CDC and Association of Public Health Laboratories. You probably wont get this expensive test unless you have symptoms and the doctor thinks you have a recent infection. While CD4 cell count has traditionally been used to monitor patients on treatment in resource-limited settings, HIV viral load (VL) testing is increasingly recognized as the preferred tool for monitoring treatment efficacy, detecting treatment failure, and preventing misclassification of treatment responses and inappropriate switching of . (October 22, 2007) National Institute of Allergy and Infectious Diseases. Universal links (header) myUCLAhealth; School of Medicine; Departments; Community & Equity; News; 310-825-2631. HIV/AIDS. Testing only approved for viral load testing to monitor therapy. The limit of detection (LOD) of the HIV-1 Qual test was determined for both WB and DBS procedures by testing two different HIV-1 subtype B reference standards including the Viral Quality Assurance Laboratory (VQA) reference material of the AIDS Clinical Trials Group and the WHO 3rd International Standard NIBSC code 10/152 diluted in HIV-1 . Or you can use a mail-in kit. Americas HIV Epidemic Analysis Dashboard. Accessed January 2016. Children Ages 0-2; Children Ages 2-18; Men Ages 18-39; Men Ages 40-49; Men Ages 50-64; Men Ages 65+ Women Ages 18-39; Women Ages 40-49; Women Ages 50-64; Women Ages 65+ Patient Education; Health . Accessed July 2021. The test looks for genetic material from the virus in your blood. 1 According to the Ethiopian national ART guideline, the first VL determination for people living with HIV (PLHIV) must be done after six months of starting antiretroviral drugs and then every year regularly. The needle is removed and pressure is applied to the puncture site to reduce bruising and bleeding. Techniques and interpretation of measurement of the CD4 cell count in people with HIV. However, in lab #2, which cannot detect any HIV below 20 copies, your . A negative HIV RNA test means that the baby is not infected (or may have been tested too soon after birth). UpToDate. Approximately 40-90% of patients with AHI will develop symptoms . To find out where you can get tested, check hiv.gov or gettested.cdc.gov, or call 800-CDC-INFO (800-232-4636). Accessed September 27, 2021. https://clinicalinfo.hiv.gov/en/glossary/viral-load-test, US Department of Health and Human Services. Accessed February 2012. All rights reserved. High viral loads are linked to faster disease progression. Updated March 8, 2021. Almost everyone who is HIV-positive has detectable levels of antibodies at 3 months. But learningyour status can relieve the anxiety of uncertainty.. Some immunoassay tests check your urine or fluids from your mouth (not saliva), but there aren't as many antibodies in these, so you may get false negatives. There are several methods that may be used by laboratories to measure a patients HIV viral load. This level will vary based . In: Sax PE, ed. Available online at http://emedicine.medscape.com/article/1995114-overview#showall. HIV/AIDS. I found this page helpful because the content on the page: (check all that apply), I did not find this page helpful because the content on the page: (check all that apply). [On-line information]. An estimated 1.2 million people in the United States have HIV, including about 158,500 people who are unaware of their status. [On-line information]. Find information on past and upcoming meetings of the Presidential Advisory Council on HIV/AIDS and their recommendations on policies, programs, and research. Viral load (VL) is the preferred treatment-monitoring approach for HIV-positive patients. Medscape Medical News [On-line information]. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Medical Encyclopedia. A lower HIV viral load is below 10,000 copies . Janice K. Pinson MT, MBA. You can do this quick, easy test at home. Updated July 3, 2019. The definitive diagnosis of HIV infection at any age requires diagnostic testing that confirms the presence of HIV. Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood. Diagnostic testing for HIV infection in infants and children younger than 18 months. Selecting antiretroviral regimens for treatment-nave persons with HIV-1: General approach. ", Journal of Clinical Virology: "Rapid HIV screening: Missed opportunities for HIV diagnosis and prevention," Relative Accuracy of Serum, Whole Blood, and Oral Fluid HIV Tests Among Seattle Men Who Have Sex With Men., Clinical Infectious Diseases: Primary Care Guidelines for the Management of Persons Infected with Human Immunodeficiency Virus: 2009 Update by the HIV Medicine Association of the Infectious Diseases Society of America., FDA: "FDA Approves First Over-the-Counter Home Use HIV Test Kit," "FDA approves first rapid diagnostic test to detect both HIV-1 antigen and HIV-1/2 antibodies," "Complete List of Donor Screening Assays for Infectious Agents and HIV Diagnostic Assays. Blood is drawn from the vein through the needle and into a vial or tube. Accessed October 2020. HIV Viral Load Detectable After Just 2 Days Without Meds. It may be helpful to gather questions for the doctor about a patients HIV viral load results. This initial measurement serves as the baseline, and future viral load measurements will be compared with the baseline. Although an isolated blip is not a sign that treatment is no longer working, some patients experience more significant increases in viral load that do indicate the HIV infection may have become resistant to ART or that treatment has failed. HIV/AIDS. After you start HIV treatment, not all lab tests will be conducted at every medical visit. The purpose of testing for HIV viral load is to measure the amount of viral RNA which is the genetic material of the virus in a small sample of a patients blood. Vyas, J. Patients may experience a brief prick or sting of pain when the needle is inserted and withdrawn. Accessed on 10/30/08. No additional restrictions on activities are required after a blood draw for an HIV viral load test. Several types of tests check your blood or other body fluids to see whether you're infected. No preparation is required before having an HIV viral load test. Medscape Drugs & Diseases [On-line information]. The Xpert HIV-1 VL assay (Cepheid, Sunnyvale, CA) is a new, automated molecular test, and it can leverage the GeneXpert systems that are being used widely for . Viral Load Test Procedure. Before you start treatment with HIV medicine (called antiretroviral therapy or ART), your health care provider will order several baseline lab tests. The frequency of viral load testing varies. Plasma viral load testing and HIV. Emergency drugs called post-exposure prophylaxis (PEP) may prevent HIV infection. Updated August 13, 2020. The cost of HIV viral load testing depends on where a patient has the test conducted and whether they have health insurance. (2008 September, Reviewed). and procedures relating to the HIV testing process. Get answers to your personal questions about HIV testing and learn more about the benefits of knowing your HIV status. In the United States, HIV is most often spread through anal sex, vaginal sex, and sharing injectable drug equipment like needles. Resources for FDA-approved lab tests, self-tests, and testing of self-collected samples are available. An antibody/antigen test that uses blood taken from a vein can find HIV 18-45 days after you're exposed to the virus. Monitoring increases or decreases in HIV viral load. If any of these screening tests are positive, they must be followed by another different antibody test. HIV/AIDS glossary: Viral load test. If a test indicates your medicines arent working, your doctor can prescribe different ones that may work better. Plasma HIV-1 RNA (viral load) and CD4 count monitoring. Accessed February 2012. An HIV viral load test requires a sample of blood. Looks like something went wrong. HIV viral load. Most HIV screening tests detect only HIV antibody but are good options for screening because they may be available as rapid tests and at the point of care. An HIV viral load is a blood test that measures the amount of HIV in a sample of your blood. Results may be sent directly to the patient and their doctor. (2011 November). The window period for this test is 18 to 90 days. This test measures the amount (viral load) of HIV genetic material (RNA) in your blood. ARUP Consult. Accessed October 2020. conventional HIV test or the rapid HIV test. If you have HIV and discontinues treatment or if it loses its effectiveness, then your HIV viral load can begin to increase again. Standard HIV blood test. HIV causes AIDS. textilene zero gravity chair. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. HIV treatment reduces the amount of HIV in the blood (calledviral load), reduces HIV-related illness, and prevents transmission to others. Accessed October 2020. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Medscape Infectious Diseases. So if you test negative a month or two after your exposure, your doctor may want you to retest after 3 months to be sure. PLoS One. (2001). Updated July 3, 2019. Accessed September 27, 2021. https://www.uptodate.com/contents/diagnostic-testing-for-hiv-infection-in-infants-and-children-younger-than-18-months, Libman H. Initial evaluation of adults with HIV. (Reviewed Oct 7, 2008) AIDS infonet.org. CDC MMWR 55(RR14); 1-17 [On-line information]. It may take several days to get results from an NAT test. This test may be used to diagnose HIV as well as plan and monitor HIV treatment. This stigma results largely from fear, outdated beliefs about how HIV is transmitted, and value judgments about people who have it. The test measures the amount of the genetic material ( RNA) of HIV in the blood. UpToDate. Accessed September 27, 2021. https://www.hiv.va.gov/patient/diagnosis/labs-viral-load.asp, Wood BR. of blood plasma HIV-1 RNA concentration known as viral load using nucleic acid-based molecular diagnostic assays has been established as standard of care in assessing HIV-positive This test helps in assessing the progression of HIV in the body. A patients doctor can discuss how to ensure that the viral load testing method is consistent across multiple tests. This may mean that the current ART regimen is no longer effective and needs to be changed. Follow-up testing after these results involves regular HIV viral load and other tests at regular intervals determined by a patients health and previous test results. ArupConsult. Questions to learn more about test results may include: A.D.A.M. Available online at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597060/. This . When and how often infants are tested depends on risk of infection. . Screening and diagnostic testing for HIV infection. The virus enters these cells and uses them to replicate and spread throughout your body. When doctors say a person has detectable levels of HIV in a viral load test, it means there is a significant amount of HIV in their blood. Bennett, N. and Gilroy, S. (2015 Dec, Updated). This test uses blood that a technician takes from your vein and sends to a lab. Your lab test results, along with your physical exam and other information you provide, will help you and your provider work together to manage your HIV care. doi:10.1073/pnas.2104651118, National Heart, Lung, and Blood Institute. Read about The National HIV/AIDS Strategy, our countrys whole-of-society approach to end the HIV epidemic in the United States. The main goal of HIV drugs is to reduce the HIV viral load to an "undetectable" level, meaning that the HIV RNA is below the level that the test is able to count. Cardiovascular; Gastroenterology; Gynecology; Lab Tests; Neurological; Orthopaedic; Pulmonary; Urology; Prevention Guidelines. When your viral load is high, you have more HIV in your body. There is no direct link between HIV viral load and exercise, nutrition, or other lifestyle factors. Mosby's Diagnostic and Laboratory Test Reference 5th Edition: Mosby, Inc., Saint Louis, MO. HIV viral load testing is ordered by a physician or other health professional. 2 Viral load testing also helps prevent unnecessary changes to . HIV tests are very accurate, but no test can detect the virus immediately after infection. Selecting antiretroviral regimens for treatment-nave persons with HIV-1: General approach. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. These drugs lower the amount of the virus in your body, sometimes to a point where a test cant spot it. After the baseline, a viral load test will usually be ordered at intervals over time, depending on a few different factors. HIV medicine can make your viral load so low that it doesn't show up in a standard lab test. Blood tests. Further information on OSPHL's HIV testing laboratory services can be found at: https . However, maternal HIV antibody is transferred to . If your viral load measurement is high, it generally indicates that HIV is present and replicating. A false-positive result means the test shows you have HIV when you dont. The recommendations also call for reducing barriers to HIV testing. (Updated 2011 January 10). HIV treatment can keep you from getting AIDS, so talk to your doctor right away about starting medications called antiretroviral therapy (ART). In: Hirsch MS, ed. The only way to determine whether you have been infected is through HIV testing. The HIV test is conducted using PCR method on blood sample of the patient. Negative test results. It moves into your lymph nodes, spleen, and other parts of your body. 535-538. (May 1, 2014) Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. *Note: This procedure may not be successful when the HIV viral load is <500 copies/mL plasma. Available online at https://www.mayocliniclabs.com/test-catalog/Overview/113581. HIV-1 RNA Detection and Quantification, Plasma. If you have the virus, finding out quickly means you can start treatment right away so you can feel better and live a long, full life. CDC: "National HIV and STD Testing Resources: Frequently Asked Questions," HIV Basics: Testing, Types of HIV Tests, HIV Basics, Post-exposure Prophylaxis (PEP) for Preventing HIV after Exposure, Testing, HIV Risk Reduction Tool: The Window Period, HIV Risk Reduction Tool: Post-exposure Prophylaxis (PEP) for Preventing HIV after Exposure, An Opt-Out Approach to HIV Screening, HIV and Gay and Bisexual Men, HIV Stigma and Discrimination., Avert: "HIV Testing," "Continuing antiretroviral (ARV) treatment," "When to Get Tested for HIV. Accessed February 2012. You should have a viral load test every three to six months. Accessed September 27, 2021. https://medlineplus.gov/ency/article/003423.htm, A.D.A.M. UpToDate. Hillyard, D. and Slev, P. (2019 November, Updated). If there is insufficient virus to produce results, If there is insufficient virus to produce results, HIV-1 RNA quantitation will be performed to confirm viral load, and the procedure will be billed at the account's prevailing fee. Maximize Your Moments. An HIV viral load test is a type of HIV test that measures the amount of HIV genetic material in the blood. (2015 May 12, Updated). You can also take steps so you don't pass HIV to other people. Your response has been recorded. Updated June 3, 2021. ", UpToDate: Screening and diagnostic testing for HIV infection., Clinical and Diagnostic Virology: Detection of Antibody to HIV in Saliva: A Brief Review., NAM/AIDSMap: How accurate are rapid, point-of-care tests for HIV? HIV viral load tests are reported as the number of HIV copies in a milliliter (copies/mL) of blood. A leading source of current and relevant information on Federal HIV policies, programs, resources, & science. Accessed October 2020. Serological testing identifies HIV antigen and/or antibody generated as part of the immune response to infection with HIV. Mayo Clinic Staff (2015 July). If recent test results (6 months for HIV viral load; 12 months for CD4 count) are available in the patient's medical records, retesting before surgery is unnecessary. MedlinePlus Medical Encyclopedia.
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