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Six Month Serology Gold Standart

Aug 15, 1997

I read your advice to the the recent question from the Surgeon who had a needlestick from an HIV infected patient in which you said no further testing was neccessary after 6 months. Would you have recommended the same if the needle was hollow bore? Have there been any documented case of serology taking longer than six months especially with the ELISA tests having improved sensitivity.

Response from Dr. Cohen

I would have said the same thing if the needle were hollow. 100% of people with HIV infection will convert within 6 months. While there may have been one or two case reports of people taking longer, such cases are so rare as to make the journals, and do not justify a policy of continued testing after six months.

Window period for symptomology
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