dear doc, welcome back from your holidays. thank god you are fine.

recently i had a routine check and my hiv eclia test came back positive. I am so worried and I dont know why. so i did a wb, but still havent got the results yet.

I had several encounters with sex workers but all using protection.

so i was unsatisfied, so i went to another clinic and did another screening test. all came back negative or non reactive.

so i went back to the first clinic and did another check, it came back weakly reactive. what does that mean??

please help me doctor, i cant sleep nor eat

please please help me

Hi,

Assuming the latex condoms were used properly and didn't fail (break), your HIV-acquisition risk is negligible. Consequently your chances of being HIV infected are also negligible.

I can only assume the testing at your first clinic has resulted in a false-positive screening ECLIA. The follow-up WB will most likely be negative based on the fact you have had an interval negative/nonreactive HIV-antibody test at another clinic and that you have a negligible HIV acquisition risk.

Try not to worry. It's important to know that reactive/positive screening ECLIA is only a preliminary result and requires a positive WB before the combined results are labeled "positive". In other words if you have a positive ECLIA and negative follow-up WB outside the window period, you are considered to be HIV negative.

Good luck.

Dr. Bob