Your HIV Screening Test Results: What a Negative Value Means - Family Medicine

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I am very anxious about HIV?


I checked the following item: HIV Ag/Ab Combo - for screening test.
The test result is Negative with a reference value interpretation: Negative: S/CO < 1.00; Positive: S/CO ≥ 1.00.
The result shows 0.33.
What does this mean? Why is it not 0? Is there a risk of infection?

Cos, 30~39 year old female. Ask Date: 2022/01/26

Dr. Ye Qianyu reply Family Medicine


Hello! The serological testing methods for HIV primarily involve initial screening through the particle agglutination method.
The principle of the particle agglutination method utilizes artificial latex particles as carriers, which are coated with viral antigens.
If antibodies of either type 1 or type 2 are present in the blood, an agglutination reaction will occur based on the principles of immune response, allowing for the determination of whether antibodies to the HIV virus are present in the serum or plasma.
This reference value has been established through research.
According to the consensus in the global public health community, it is recommended to have a "negative antibody test at 12 weeks" to rule out HIV infection.
This testing includes ELISA, particle agglutination, and rapid blood tests.
Please be reminded that if you have engaged in unsafe behaviors, it is advisable to confirm again at the 12-week mark.

Reply Date: 2022/01/26

More Info


When interpreting your HIV Ag/Ab Combo screening test results, it's essential to understand the significance of the S/CO (Signal-to-Cutoff) value provided in your report. In your case, the S/CO value is 0.33, which falls below the threshold of 1.00. According to the testing standards, a result is considered negative when the S/CO value is less than 1.00, and positive when it is 1.00 or greater. Therefore, your result of 0.33 indicates a negative test result, suggesting that there is no evidence of HIV infection at the time of testing.

The reason your S/CO value is 0.33 instead of 0 is due to the inherent nature of laboratory testing. Even in the absence of HIV infection, various factors can contribute to a non-zero S/CO value. These factors may include the presence of other proteins in the blood, variations in the testing reagents, or even the biological variability of your own immune response. The important takeaway is that as long as the S/CO value remains below the cutoff of 1.00, it is interpreted as negative for HIV.

It's also worth noting that no test is perfect, and there is a possibility of false negatives, especially if the test is conducted during the "window period." The window period is the time after potential exposure to HIV during which the virus may not be detectable in the blood. For most HIV tests, including the Ag/Ab Combo test, this window period typically ranges from 10 days to 3 months, depending on the specific test and individual factors. However, since your test result is negative and you have not engaged in any high-risk behaviors recently, it is reasonable to conclude that your risk of HIV infection is low.

In addition to HIV, it is advisable to consider testing for other sexually transmitted infections (STIs), especially if you have concerns about potential exposure. Regular screenings for STIs are an essential part of maintaining sexual health, particularly for individuals who have had multiple partners or unprotected sex.

If you have any lingering concerns or if you believe you may have been exposed to HIV after your last test, it is prudent to consult with a healthcare provider. They may recommend follow-up testing or additional screenings based on your specific circumstances. Regular check-ups and open communication with your healthcare provider can help ensure your peace of mind and overall health.

In summary, your HIV Ag/Ab Combo test result of 0.33 is a negative result, indicating no current infection. While it is always wise to stay informed and proactive about your sexual health, this result suggests that you are not at risk for HIV at this time. If you have further questions or concerns, don't hesitate to reach out to a healthcare professional for personalized advice and support.

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