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HIV Tests For CRF A/E.."Please" help Doc
Hello Doctor and thank your for your daily dedication and invaluable advice for those of us who read your forum!
Background information for this incident:
10 AUG 07: I’m an American heterosexual male. I was in Phuket Thailand and went back to my room with a female who I met at a night club. I’m positive she was a sex worker as she asked me for money after our sexual encounter. When we arrived to my room she asked if I had a condom and I said no. She then called to the front desk and had condoms delivered to the room. We began by having protected vaginal sex for about 5 minutes. Then, for some reason she removed the condom and I continued to have sex with her for about an additional 5 minutes until I ejaculated. I forget whether it was in her or not. That was the only sexual contact I had with her. Immediately following that, I took a shower and cleaned myself thoroughly. She never asked if I had any STDs nor did I ask her. Two weeks later I had tests for Syphilis, Gonorrhea, and Chlamydia done. All were negative.
10 OCT 07 (61 days after the incident): I went to a HIV clinic and had the OraQuick ADVANCE Rapid HIV-1/2 Antibody test done (oral version). Came back as “negative”.
16 OCT 07 (67 days after the incident): I had a blood test done (ELISA). I later found out they only tested me for HIV -1 AB. Came back “negative”.
I was researching today and found that HIV-1 CRF A / E is most common in South-east Asia (including Thailand where I had the encounter).
My questions
1.Would the OraQuick test I took be able to identify HIV-1 CRF A / E?
2.Would the ELISA blood test I took be able to identify HIV-1 CRF A / E?
3.What do you think my risk to HIV was from having the exposure that I did?
4.What is my next step, if any concerning this situation?
After learning about the different subtypes and the testing I had, I’m concerned and a little stressed that my tests are not as accurate as I initially thought. Thank you for your help!
Background information for this incident:
10 AUG 07: I’m an American heterosexual male. I was in Phuket Thailand and went back to my room with a female who I met at a night club. I’m positive she was a sex worker as she asked me for money after our sexual encounter. When we arrived to my room she asked if I had a condom and I said no. She then called to the front desk and had condoms delivered to the room. We began by having protected vaginal sex for about 5 minutes. Then, for some reason she removed the condom and I continued to have sex with her for about an additional 5 minutes until I ejaculated. I forget whether it was in her or not. That was the only sexual contact I had with her. Immediately following that, I took a shower and cleaned myself thoroughly. She never asked if I had any STDs nor did I ask her. Two weeks later I had tests for Syphilis, Gonorrhea, and Chlamydia done. All were negative.
10 OCT 07 (61 days after the incident): I went to a HIV clinic and had the OraQuick ADVANCE Rapid HIV-1/2 Antibody test done (oral version). Came back as “negative”.
16 OCT 07 (67 days after the incident): I had a blood test done (ELISA). I later found out they only tested me for HIV -1 AB. Came back “negative”.
I was researching today and found that HIV-1 CRF A / E is most common in South-east Asia (including Thailand where I had the encounter).
My questions
1.Would the OraQuick test I took be able to identify HIV-1 CRF A / E?
2.Would the ELISA blood test I took be able to identify HIV-1 CRF A / E?
3.What do you think my risk to HIV was from having the exposure that I did?
4.What is my next step, if any concerning this situation?
After learning about the different subtypes and the testing I had, I’m concerned and a little stressed that my tests are not as accurate as I initially thought. Thank you for your help!
Thanks for the quick reply and sound advice Doc! I will "most" definitely follow it to the letter.
Take Care and please continue to help those in need.
Take Care and please continue to help those in need.
MEDICAL PROFESSIONAL
Relax; you weren't infected. As far a I know, the standard antibody tests are accurate for the HIV subtypes you mention.
1,2) Oraquick and any of the standard ELISA tests are completely reliable more than 2 months after exposure.
3) Even if your partner had HIV, the average risk of transmission from a single episode of insertive vaginal sex is around 1 in 2,000. But the risk doesn't matter; no matter how how it was, you weren't infected.
4) Your next step is to a) move on; and b) don't let any future sex partners talk you out of your intent to use condoms!
Good luck-- HHH, MD
1,2) Oraquick and any of the standard ELISA tests are completely reliable more than 2 months after exposure.
3) Even if your partner had HIV, the average risk of transmission from a single episode of insertive vaginal sex is around 1 in 2,000. But the risk doesn't matter; no matter how how it was, you weren't infected.
4) Your next step is to a) move on; and b) don't let any future sex partners talk you out of your intent to use condoms!
Good luck-- HHH, MD
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