hiv大家纠结的一些问题，窗口期，kj，试剂。尽我所能帮助大家

ms13

请问胶体金 上海科华，是什么性质的试纸。它的准确度高吗，6周3甲检测阴。谢谢

ms13

请问胶体金 上海科华，是什么性质的试纸。它的准确度高吗，6周3甲检测阴。谢谢

wwe131

回复 26# luckz009


    按照你的逻辑的话 其实所有的医院都没给你测HIV

totem

我可以明确告诉你 美国是6个月   我一个哥们 在波士顿全美疾病控中心检测的     我国检测规范明确规定是  借 ...
amituofuo 发表于 2010-7-17 17:30

        的确没有绝对，但是症状什么也不能说，从来没有人能通过症状诊断hiv感染。aids期症状作为辅助判断的项目及重要提示，但是急性期，没有医生会追问你的症状，只会问你行为。我是国内的医生，不是美国的医生，如果说要谨慎，我应该建议所有人监测一年甚至更长，六周对于普通人的单次高危已经足够，我从来不会说排除，只评估风险及给出建议。如果你是医生，我很愿意和你探讨，如果你不是，那么我没办法给你说明。你话里话外无非是说我不够专业，没关系，说我不够专业的不止你一个，呵呵。但是我不会危言耸听的说话，也不会无根据的去安慰任何人。所有的回答，均有理论的支持。你老说老美的6个月，那我也告诉你，外国对于单次的高危，不建议检测。你哪个朋友在波士顿监测中心啊？还有，个人的题外话，我是医生，不需别人告诉我怎么尊重生命，医生比任何人都尊重生命，我非常反感别人给我这样说。

totem

请问胶体金 上海科华，是什么性质的试纸。它的准确度高吗，6周3甲检测阴。谢谢
ms13 发表于 2010-7-17 20:46

    我不是搞检验的，所以不是很清楚，你必须说行为我才能给你评估呢。

不明白

回复 199# amituofuo


    你都带套了还跟那些无套的一样瞎操心干吗？多长时间了，还没脱？

totem

回应说美国cdc需6个月那个，我查了下资料，没找到普通人的，找到的是美国的职业暴露随访时间，貌似我们主任也说错了，美国也是随访六个月，呵呵~~
Follow-up of HIV-1-Exposed Individuals

               Healthcare workers exposed to potentially infectious material should be offered psychological counseling and support. If PEP is started the exposed individual should return in two weeks to have a complete blood count and hepatic enzyme measurements. Following completion of prophylaxis they should return for hepatic transaminase levels and HIV antibody testing 6, 12, and 24 weeks after exposure. Exposed individuals should also be advised to use precautions to prevent secondary transmission throughout the follow-up period. Furthermore, they should be counseled as to the symptoms of primary HIV-1 infection and the need to return immediately for HIV antibody and virologic testing if they develop such symptoms. However, unless primary infection is being considered, virologic testing such as measures of plasma HIV-1 RNA should be discouraged because of the potential for false positives (9, 29). To reduce psychological stress during the course of follow-up, individuals should also be told that most seroconversions occur during the first 6 weeks after an exposure, and that the likelihood of infection declines with time.

注意最后一句“应该告诉暴露者most（绝大多数）的血清转阳的时间都在最初接触的前六周。

永远阴到底

回复 207# totem


    请问医生，你说的你不会说排除，意思是检测三个月都不会说排除吗

totem

是的，3个月我也不会说排除，你看了我的回复我最多就是说“无限趋近于“0“”
顺带说说美国的标准
Most HIV tests are antibody tests that measure the antibodies your body makes against HIV. It can take some time for the immune system to produce enough antibodies for the antibody test to detect, and this time period can vary from person to person. This time period is commonly referred to as the “window period.” Most people will develop detectable antibodies within 2 to 8 weeks (the average is 25 days). Even so, there is a chance that some individuals will take longer to develop detectable antibodies. Therefore, if the initial negative HIV test was conducted within the first 3 months after possible exposure, repeat testing should be considered >3 months after the exposure occurred to account for the possibility of a false-negative result. Ninety-seven percent of persons will develop antibodies in the first 3 months following the time of their infection. In very rare cases, it can take up to 6 months to develop antibodies to HIV.

的确，美国说的是6个月，但是需要六个月确诊的人他用了very rare 这个词（非常罕见）呵呵，上面说的most的人在2-8周既可以查出来。

永远阴到底

回复 209# totem


    我是DTXJ，没有破，三个月90天是酶联，最后一次是雅培115天快速，就是还怕，那你什么时候才肯说排除