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Old 01-20-2013, 08:00 PM   #1
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Help with indeterminate results

HIV-1, WESTERN BLOT Indeterminate

HIV-1 P55 AB, WESTERN BLOT REACTIVE

HIV-1 P24 AB, WESTERN BLOT INDETERMINATE

Same sex partner for the last 14 months.

Anything to do but wait to retest.

 
Old 01-20-2013, 08:34 PM   #2
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Re: Help with indeterminate results

Question: When was your last episode of unprotected vaginal or anal sex with your sex partner?

Another question: Has your partner been tested?

Another question: Is your partner male of female?

 
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Old 01-20-2013, 08:45 PM   #3
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Re: Help with indeterminate results

Quote:
Originally Posted by joggen View Post
Question: When was your last episode of unprotected vaginal or anal sex with your sex partner?

Weekly. Monogamous.

One other female contact 16 months ago I had unprotected oral and protected vaginal but condom broke stopped intercourse when it broke. Tested Neg for HIV and HIV DNA one week later not tested since -her status: stated she was negative

Another question: Has your partner been tested?

No.

Another question: Is your partner male of female?
Female

 
Old 01-20-2013, 08:53 PM   #4
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Re: Help with indeterminate results

If you had sex with her recently then you will have to wait until 3 months after your last unprotected vaginal or anal sex as there is the possibility that you could be seroconverting. However, most indeterminate WBs resolve negative and you are not in a high risk category. In sorting this out it would help if you could get your partner tested or use the OTC Oraquick test for her. If your partner tests negative then your chances of having HIV would be zero unless she has been unfaithful.

Edit: If you were infected from the condom break incident you would have almost certainly tested positive by now.

Last edited by joggen; 01-20-2013 at 08:55 PM.

 
Old 01-20-2013, 09:09 PM   #5
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Re: Help with indeterminate results

Thanks Much!

 
Old 01-21-2013, 10:43 AM   #6
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Re: Help with indeterminate results

If I did an HIV DNA test would that rule out HIV if it was negative it has been at least 2 weeks since exposure.

 
Old 01-21-2013, 11:06 AM   #7
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Re: Help with indeterminate results

Their is little point testing until 4 but more so 6 weeks with an antibody test. You have made 3 mistakes already which have put you in this postion.

1. Testing to early. Hence the incorrect test results
2. The wrong type of test. Hence the incorrect results.
3. Over testing.

So all you need to do is test at 6 and 12 weeks with an antibody test and the later will confirm your status. A dna test is the wrong type to take anyway, it cannot confirm your status and it also has a higher rate of false positives.

Just to add.

If you have been with the same partner for 14 months and neither of you have had unprotected sex with anyone else in the last 3 months, then a simple antibody test now will be fine or if she takes one and is negative then you have nothing to worry about.
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Last edited by Apollo123; 01-21-2013 at 11:18 AM.

 
Old 01-21-2013, 12:53 PM   #8
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Re: Help with indeterminate results

Quote:
Originally Posted by Apollo123 View Post
Their is little point testing until 4 but more so 6 weeks with an antibody test. You have made 3 mistakes already which have put you in this postion.

1. Testing to early. Hence the incorrect test results
2. The wrong type of test. Hence the incorrect results.
3. Over testing.

So all you need to do is test at 6 and 12 weeks with an antibody test and the later will confirm your status. A dna test is the wrong type to take anyway, it cannot confirm your status and it also has a higher rate of false positives.

Just to add.

If you have been with the same partner for 14 months and neither of you have had unprotected sex with anyone else in the last 3 months, then a simple antibody test now will be fine or if she takes one and is negative then you have nothing to worry about.
Just to clarify the HIV test was part of a group of tests like CBC Chem PSA etc All of which were normal except the HIV)and was included because of recommended universal testing as opposed to some specific issue. I had a repeatedly positive ELISA and then the tests listed. There is also an HIV 2 test pending.

Can you clarify what you mean by an antibody test? Is there a specific name?

 
Old 01-21-2013, 01:30 PM   #9
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Re: Help with indeterminate results

As you now tell us you tested postive, did you tell your parner and has she tested?
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Old 01-21-2013, 01:41 PM   #10
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Re: Help with indeterminate results

Here is exactly what I got right off the lab report.
I told her I had an indeterminate Western Blot. I mentioned the repeatedly reactive ELISA because that is what I thought the comment referred to. Maybe I'm wrong.

Component Results

Component Value Range & Units Status
HIV-1, WESTERN BLOT Indeterminate (A) Final
Comment:
In conjunction with a Repeatedly Reactive HIV-1/2
screening test, this result may represent an incomplete
HIV antibody response or a nonspecific reactivity.
Patients with a Repeatedly Reactive HIV 1/2 screening
test and an initial Indeterminate HIV-1 Western Blot
should be retested for HIV 1/2 infection at least one
month later. HIV-1 RNA testing on a new plasma sample
by the HIV-1 RNA Qualitative TMA (use code 16185X) may
detect viral nucleic acid prior to seroconversion.
HIV-1 P18 AB, WESTERN BLOT NOT SENT Final
HIV-1 P24 AB, WESTERN BLOT INDETERMINATE Final
HIV-1 P31 AB, WESTERN BLOT NOT SENT Final
HIV-1 P40 AB, WESTERN BLOT NOT SENT Final
HIV-1 GP41 AB, WESTERN BLOT NOT SENT Final
HIV-1 GP120 AB, WESTERN BLOT NOT SENT Final
HIV-1 GP160 AB, WESTERN BLOT NOT SENT Final
HIV-1 P51 AB, WESTERN BLOT NOT SENT Final
HIV-1 P55 AB, WESTERN BLOT REACTIVE Final
Comment:
PLEASE NOTE This information has been disclosed
to you from records whose confidentiality may be
protected by state law. If your state requires
such protection, then the state law prohibits you
from making any further disclosure of the
information without the specific written consent
of the person to whom it pertains, or as otherwise
permitted by law. A general authorization for the
release of medical or other information is NOT
sufficient for this purpose.
HIV-1 P65 AB, WESTERN BLOT NOT SENT Final
PROG HIV-2 WESTERN BLOT Has been added Final

 
Old 01-21-2013, 01:43 PM   #11
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Re: Help with indeterminate results

It was done by QUEST Labs if that makes a difference

 
Old 01-21-2013, 01:48 PM   #12
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Re: Help with indeterminate results

Yes you are incorrect, you never took that test, only a wb, which is NOT a postive result.

Look, to help you, you need to answer certain questions.

1. Has you or your partner had unprotected sex with anyone else in the last 3 months.
2. Has she taken a hiv test?
3. Why are you now testing, whats the reason?
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Old 01-21-2013, 02:28 PM   #13
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Re: Help with indeterminate results

Neither of us has had unprotected sex with anyone else in the last 3 months

She has not been tested for HIV
The HIV test was recommended for me as part of new recommendations for universal testing. It was added onto my PSA test and other routine labs which I got for a family history of prostate cancer. In other words I came in to get the PSA and got these other tests in addition at their recommendation.

 
Old 01-21-2013, 02:36 PM   #14
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Re: Help with indeterminate results

Ok thank you for the information.

Well the best way to resolve this is for you BOTH to take a simple antibody test, either a rapid test or a standard antibody test.

Now if she comes out negative then its quite clear this is just a "blip" in test results. Its quite common and you will see many threads here with false positives or INDETERMINATE results on a wb test. As Joggen has said, most all result in a negative test later down the line when they re-test.

For now, you both just need to take a antibody test and from their we can help further help you.
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Old 01-21-2013, 02:49 PM   #15
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Re: Help with indeterminate results

So would oraquick be an antibody test or go back to the doctor and if so what test does one ask for.
BTW thanks for all the time you put into this.

 
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