HIV Test Results: What to Expect and When to Be Notified - Internal Medicine

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HIV testing issues?


On June 5th, I had blood tests done at the provincial hospital, and the health record showed the following urine general examination and syphilis test items:
- Treponema pallidum antibody test
- Bacterial culture identification test (including general bacteria, fungi, protozoa, excluding acid-fast bacilli)
- Hepatitis B surface antigen
- Hepatitis B surface antibody
- Hepatitis C virus antibody test
- Human Immunodeficiency Virus (HIV) antigen and antibody combination test.
On June 8th, I checked the health record for the test report, and it only included the urine general examination and syphilis test items, along with the Treponema pallidum antibody test, bacterial culture identification test, Hepatitis B surface antigen, Hepatitis B surface antibody, and Hepatitis C virus antibody test.
The report is missing the HIV antigen and antibody combination test.

I would like to ask if this is due to the time factor and the test results are not yet available, or if it was not supposed to be displayed at all, or if it was positive and therefore not displayed.
If there is indeed an HIV infection, will I be notified by phone?

Lin, 20~29 year old female. Ask Date: 2023/06/08

Dr. Wu Hongjie reply Internal Medicine


For HIV-related inquiries, please contact the Infectious Diseases Department.
If this is regarding health check-up items, please call the Health Management Center or the Laboratory Department.

Reply Date: 2023/06/08

More Info


When it comes to understanding HIV test results, it’s essential to grasp the nuances of the testing process, the implications of the results, and the appropriate follow-up actions. Based on your inquiry regarding the absence of the HIV test results in your medical report, let’s break down the situation.

Firstly, it’s important to note that HIV tests can vary in their methodologies and timelines for reporting results. The HIV antigen and antibody combination test (often referred to as the HIV Ag/Ab combo test) is a common screening method that detects both the HIV virus and the antibodies produced in response to the infection. This test is typically reliable and can provide results within a few days to a week, depending on the laboratory's processing time.

In your case, the absence of the HIV test results from your report could be attributed to several factors:
1. Processing Time: It’s possible that the test is still being processed. Some tests, especially those that require more complex analysis, may take longer to yield results. If the test was conducted on June 5 and you checked on June 8, it’s plausible that the results were not yet available.

2. Technical Issues: Occasionally, there can be technical issues or errors in the laboratory that may delay the reporting of certain tests. This could include issues with sample handling or processing.

3. Result Notification Protocols: Many healthcare facilities have specific protocols for notifying patients of their results, especially for sensitive tests like HIV. If the result is positive, healthcare providers typically have a responsibility to contact the patient directly, often via phone, to discuss the results and the next steps. Conversely, if the result is negative, it may be included in a broader report that is sent out at a later date.

4. Potential Positive Result: While it’s natural to worry about the implications of missing results, it’s crucial to remember that a missing report does not automatically indicate a positive result. If there were a positive result, the healthcare provider would likely reach out to you directly to discuss the findings and necessary follow-up.

5. Follow-Up Actions: If you are concerned about the absence of your HIV test results, the best course of action is to contact the healthcare provider or laboratory where the test was conducted. They can provide clarity on the status of your results and any necessary follow-up.

In terms of understanding your risk and the importance of testing, it’s vital to remember that HIV has a window period, which is the time between potential exposure to the virus and the point when the test can reliably detect the virus or antibodies. For most tests, this window period can range from a few weeks to several months. If you have engaged in high-risk behaviors, it is advisable to get tested regularly and to consult with a healthcare provider about the appropriate timing for testing.

In summary, while the absence of your HIV test results may be concerning, it does not necessarily indicate a positive result. It’s essential to follow up with your healthcare provider for clarification. Regular testing and open communication with healthcare professionals are key components in managing your health and understanding your HIV status. If you have any further questions or concerns, don’t hesitate to reach out for professional guidance.

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