4 weeks s/p exposure, undetectable viral load
Aug 26, 2009
I'm a health care provider, and I was stuck by a contaminated needle 5 weeks ago. To complicate things, I've had a runny nose/cough since 2 weeks prior to the stick.
I got a sore throat 2 weeks later, and I went to the ED. They diagnosed me with post nasal drip. They didn't think it was acute retroviral syndrome.
My sore throat/runny nose gradually improved, but then last week, I developed tender anterior cervical lymphadenopathy, had low grade fevers, and had 3 episodes of night sweats.
I went back to the ED and got a viral load checked, exactly 4 weeks s/p exposure. Today, I got my results, and to my surprise it was "<75, Negative for HIV." The reference range for this particular test was 75 - 500,000.
My question is how confident can I be that "I'm in the clear" from this test result? Do I still need to get my 6 week antibody test next week?
Yesterday I got what looks like viral conjunctivitis in one of my eyes, and since that's generally not part of ARS, I'm confident that I have something else going on.. like adenovirus infection
Thank you for your time!
Response from Dr. Frascino
As a health care provider who was stuck by a contaminated needle, why didn't you report and document the occupational exposure when it happened? All health care facilities have policies and procedures in place to quickly evaluate occupational exposures and treat them with post-exposure prophylaxis (PEP) if necessary. The evaluation would also include HIV testing at the appropriate intervals when indicated. The recommendations for a significant exposure are for HIV-antibody testing immediately and at six weeks, three months and six months after the exposure. The quantitative HIV plasma PCR RNA viral load test that you had performed is not recommended for routine HIV screening.
You can download a copy of the updated guidelines for evaluation and management of occupational exposures at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Is Groin Pain A Symptom Of Acute HIV Infection?
- How Likely Is It To Get AIDS From Sex With A Prostitute?
- Headache After Oral Sex With No Protection Does It Mean I Have HIV
- Thrush After Happy Ending Worried I Have HIV
- Can Saliva Transmit Hepatitis B?
- Does Pineapple Juice Help With Vaginitis?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.