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Anonymous
Unregistered

Negative at six months and poz later?
      #212337 - 10/22/06 03:36 AM

Does anyone know of any cases where a person tested negative at six months and then HIV positive later following a potential exposure to HIV?

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TheLoneRanger
Fanatic

Reged: 02/28/06
Posts: 64
Loc: Texas
Re: Negative at six months and poz later? new
      #212459 - 10/23/06 12:01 PM

There has been a debate about the 3 Vs. 6 months, more than anything. Suggesting that after 6 months, the results will be conclusive.

TLR

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212479 - 10/23/06 02:00 PM

I have yet to hear a personal experience of someone testing negative after 6 months. But there have been documented cases of those that have taken longer.

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212518 - 10/23/06 08:16 PM

So there is a realy possibility of seroconvert after 6 months, everybody says the limit is 3 months but...

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212522 - 10/23/06 08:58 PM

Yeah, people still want to hold on to that 6 months, but the fact is that the CDC changed their recommendation on the window period.

From the offical CDC training guide.

http://www.cdc.gov/nchstp/od/gap/pmtct/Trainer%20Manual/Adobe/Module_6TM.pdf

Page 11, point #4, sub-bullet

"A negative result usually means that the person is not infected with HIV. In rare instance, a person with a negative or inconclusive result may be in the 'window period". This is the period of time between the onset of infection with HIV and the appearance of detectable antibodies to the virus. THE WINDOW PERIOD LASTS FOR 4 TO 6 WEEKS but OCCASIONALLY up to 3 months after HIV exposure. Persons at HIGH RISK who initally test negative should be RETESTED at 3 months after exposure to confirm results."


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Cobal
Master

Reged: 07/23/06
Posts: 136
Re: Negative at six months and poz later?
      #212568 - 10/24/06 08:13 AM

I beleive that was put into place for general screening. Most that test will not be positive. But those with real high risk are suggested to test out to 6 months and if clinicial indication are present, they may suggest that you test out to 12 months. But generally cdc does not recommend testing beyond 6 months by their guidelines. Testing beyond 6 months will be a medical deciscision based on clinical indications. You can contact the CDC hotline and ask when testing beyond 6 months should be suggested. They have a blurb to cover what i just mentioned. Cases are rare, but seroconversion after 6 months do happen.

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mpo131
Unregistered

Re: Negative at six months and poz later?
      #212573 - 10/24/06 08:52 AM

NOT SINCE 1998. EITHER SHOW SOME PROOF OR GO SCHEDULE AN APPOINTMENT WITH A THERAPIST.

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Anonymous
Unregistered

Re: Negative at six months and poz later?
      #212576 - 10/24/06 09:42 AM

No Cobal. I know how much you want to believe that your test results don't count, but the fact is that these CDC recommendations are for EVERYONE, otherwise it would have stated the 6 month cavet, like the recommendations from 2001 did.

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212579 - 10/24/06 09:59 AM

What does DR Bob have to offer on this topic:
http://www.thebody.com/Forums/AIDS/SafeSex/Current/Q178858.html.
No are you saying to me that his use of the window period is correct? According to him and the CDC a known risk, testing out to 12 months is expected to rule out rare cases. If you have not figured that out by now, that your facts are far from incomplete and simply based on General Stats, then you have no rights to be posting advice to those who are looking for the complete information and not the partical crap you are posting here. MORE so to you MPO.

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212593 - 10/24/06 12:36 PM

You're full of it. No where in that long thing did he say someone should test out to a year. I even did a search on the word 'year'. It's also amazing how you glossed over the fact that he was very clear that 3 months is gold. Do they teach reading comprehension anymore?

His explanation for the rationale for 6 months was only if someone was co-infected with Hep C or had been in a study with Clinical HIV vaccines. You could also add to that some one taking chemotherapy or a transplant patient on immune suppression drugs. I'm sure that none of those applies to you.

I do see that he mentions that the CURRENT controvsary is with the debate over the 3 months vs. 6 weeks window period.

Time to start living in 2006. But hey, if you choose to put yourself in hell for a year. Be my guest. Just remember the time you waste you don't get back.



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Cobal
Master

Reged: 07/23/06
Posts: 136
Re: Negative at six months and poz later? new
      #212599 - 10/24/06 02:56 PM

You didnt read far enough. Read "Hello not your momma. This is a excert from that write up. " Now comes the confusing part. If a person was significantly exposed to a known HIV-infected person, the estimated statistical risks change and a second repeat test "might" be considered at six months or more from the exposure depending on the circumstances. And yes, there are very rare reports of seroconversion 6-12 months after a known exposure. The exact details of these very rare historical cases are a bit sketchy, but the reports do indeed exist in the medical literature. Today, however, extended follow-up testing beyond six months after exposure to rule out the extremely rare possibility of delayed seroconversion is not recommended, except under exceedingly rare circumstances that should be based on the clinical judgment of an HIV specialist" . Now how did you miss that

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212606 - 10/24/06 03:40 PM

Yes there was one old Indian person in a little village in India that turned Poz after a year. He was suppose to go get check sooner but he had 100 wives. He was 105 years old and had just gotten over a server case of the clapp. They based the CDC 6 month rule on him so there you have it.

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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212611 - 10/24/06 04:53 PM

"TODAY, however, extended follow-up testing beyond six months after exposure to rule out the extremely rare possibility of delayed seroconversion IS NOT RECOMMENDED, except under exceedingly rare circumstances THAT SHOULD BE BASED ON THE CLINICAL JUDGEMENT OF AN HIV SPECIALIST."

Notice HIV Specialist. Not just any type of General Doctor. General doctors are prone to give unneeded tests because they a) have no clue about HV and b) it shuts the annoying patients up and they get extra money to boot. Not a bad deal.

I guess you have chosen to ignore what is considered rare circumstances. Tell me, are you concerned about late seroconversion because you have Hep C or have you been a guina pig for HIV vaccines? Maybe Chemo. or are you a transplant patient? and i still don't see the words A YEAR. Do you? Didn't think so.

NO worries however. You just keep wasting precious time fussing and fuming over a disease you don't have. I'm sure your HIV specialist (not an overly fearful GP) can arrange for your year testing. If he can recover from laughing his ass off at you first.



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Anonymous
Unregistered

Re: Negative at six months and poz later? new
      #212645 - 10/25/06 12:53 AM

There is enough noise out there about late seroconversion that I have to think it happens at least occasionally. You have to remember that the vast majority of people who test positive for HIV do so outside of any known date of exposure. For this reason, the data for exactly how long it takes to seroconvert is based on a relatively small proportion of those who ultimately test positive.

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rufenough
Fanatic

Reged: 04/22/06
Posts: 50
Re: Negative at six months and poz later?
      #212650 - 10/25/06 04:31 AM

Actually when I read all the stuff on that Link to Dr Bobs responses, I note it stated that if a person had had a "REAL" exposure, then it was not unreasonable to test out to 6 months, and also that if there was clear clinical manifestions, that causes are not found for, then an HIV specialist should consider whether still further testing would be wise beyond that time. Hardly the bold sweeping comments of the anonymous 6 weeker advocates on this forum. Even the THT here in the UK (one of the longest running HIV charities in the world) say that only 75% of those infected will test positive at 6 weeks. Sorry guys.

What was your exposure Cobal?

Its clear with all the confusion that goes on about this subject, the indivdiual should take what ever resource they need out of their PAID FOR medical services to feel confident they are in the clear. Here in the UK such services are paid for by our tax contributions known as national insurance, that on a monthly basis cost more than an all singing all dancing private medical cover...so I personally wont be getting any twangs of conscience in going into my GP or GUM clinic as many times as necessary to get to the cause of my illness, even if its anxiety!

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