Patient's Query
Hello doctor,
I have a query related to HIV. I had visited a massage parlor 57 days ago, where at the end I had fingered the masseuse for about one to one and a half minutes and she performed a hand job (no other activities). I have a habit of biting my nail and the skin around the nail. The day before this exposure, I had a tiny cut on my index finger (it bled for four to six hours but very little blood, 0.02 ml, and there was no bleeding during the encounter).
So, I got anxious and took an RNA PCR real-time test on the 21st day, and the result was 'target not detected (20 ml copies)'. Again, on the 28th day, I took the HIV 1 and 2 and p24 CMIA method test, where the result was non-reactive and the index value was 0.08, and again took the same HIV 1 and 2 and p24 CMIA test. The result was nonreactive (index value 0.12). My question is, still do I need to take further tests or move on with my life?
Kindly suggest.
Thank you
Hello,
Welcome to icliniq.com.
The chance of transmission of HIV by the given description is almost nil. The wound in your finger (if at all present) most likely would have partially dried up. The skin is an effective barrier for HIV. The chances of transmission would be almost nil. The HIV RNA PCR test is negative after 12 days is conclusive enough. The antibodies tests are repeatedly negative. The chance of HIV test results coming positive later is nil. But it may be better to go for HIV antibodies tests after three months to have final conclusive results.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Are HIV 1 and 2 and p24 CMIA fourth generation tests?
Kindly explain.
Thank you.
Hello,
Welcome back to icliniq.com.
Fourth-generation tests include HIV 1 and 2 antibodies test and P24 antigen detection. You can get it done after three months post-exposure to have a final conclusive result.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
I took the HIV-1, 2 & P24 CMIA tests yesterday, which are 84 days (12 weeks) from the exposure, and they are non-reactive, and the index value is 0.26. Is it now conclusive, and can I move on with my normal life?
Kindly help.
Thank you.
Hi,
It is negative and conclusive; provided you have no further risk exposure, you can lead a normal life.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Yes, I do not have any other exposure. The one I mentioned was my first, and it will be my last, as these 12 weeks have been filled with extreme anxiety and guilt. I’m just now coming out of it. Final question: with the CMIA test, are both HIV 1 and 2 ruled out? And the index value of 0.26 has no bearing on my result, right?
Thanks, doctor, for the reassurance and help.
Hi,
Welcome back to icliniq.com.
Yes, it is both for HIV 1 and 2, and you are free from HIV.
Thank you.
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Answered byDr. Basti Bharatesh Devendra
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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