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Is The " HIV 1 RNA , QL TMA" Test

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Posted on Mon, 15 Oct 2018
Question: Is the "HIV 1 RNA, QL TMA" test reliable?

I have been paranoid for MONTHS that I may have caught HIV (I had unprotected sex with three women in a 5 month span). I began to experience post nasal drip and clogged nostrils consistently for the entire 2018. And the excess mucus has led to chest infections four times so far since 2018, meaning four different times I had to go on anti-biotics. So I decided to do the entire ten panel test on stdcheck.com inclusive of the HIV RNA Early Detection. In the results it says under "HIV 1 RNA, QL TMA" that it is not detected. However when I search online it says that this test can't be used independently, Anyhow, can I trust this result of negative to mean that I definitely don't have HIV? Or do I have to live in some more paranoia?
doctor
Answered by Dr. Dr.Raju.A.T (19 minutes later)
Brief Answer:
You do not have HIV

Detailed Answer:
Hi,

Thanks for your query.

HIV RNA PCR is gold standard test. This test result if negative, then is definitive that you do not have HIV.

Relax, do no more testing.

If you have got tests for other STDs like HSV, Hepatitis and Syphilis - please share the report here.

I shall have a look and opine.

Waiting for your response,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Raju.A.T (1 hour later)
Hello Doctor XXXXXXX

Thank you for your answer. You have eased my mind a lot. I got "not detected" for all stds.
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Follow up: Dr. Dr.Raju.A.T (4 minutes later)
CBC (INCLUDES DIFF/PLT)
WHITE BLOOD CELL COUNT 4.4 NORMAL 3.8-10.8 Thousand/uL 01
RED BLOOD CELL COUNT 4.56 NORMAL 4.20-5.80 Million/uL 01
HEMOGLOBIN 13.8 NORMAL 13.2-17.1 g/dL 01
HEMATOCRIT 43.3 NORMAL 38.5-50.0 % 01
MCV 95.0 NORMAL 80.0-100.0 fL 01
MCH 30.3 NORMAL 27.0-33.0 pg 01
MCHC 31.9 LOW 32.0-36.0 g/dL 01
RDW 11.4 NORMAL 11.0-15.0 % 01
PLATELET COUNT 260 NORMAL 140-400 Thousand/uL 01
MPV 10.4 NORMAL 7.5-12.5 fL 01
1 of 4ABSOLUTE NEUTROPHILS 2204 NORMAL 1500-7800 cells/uL 01
ABSOLUTE BAND NEUTROPHILS DNR NORMAL 0-750 cells/uL 01
ABSOLUTE METAMYELOCYTES DNR NORMAL 0 cells/uL 01
ABSOLUTE MYELOCYTES DNR NORMAL 0 cells/uL 01
ABSOLUTE PROMYELOCYTES DNR NORMAL 0 cells/uL 01
ABSOLUTE LYMPHOCYTES 1558 NORMAL 850-3900 cells/uL 01
ABSOLUTE MONOCYTES 488 NORMAL 200-950 cells/uL 01
ABSOLUTE EOSINOPHILS 79 NORMAL 15-500 cells/uL 01
ABSOLUTE BASOPHILS 70 NORMAL 0-200 cells/uL 01
ABSOLUTE BLASTS DNR NORMAL 0 cells/uL 01
ABSOLUTE NUCLEATED RBC DNR NORMAL 0 cells/uL 01
NEUTROPHILS 50.1 NORMAL % 01
BAND NEUTROPHILS DNR NORMAL % 01
METAMYELOCYTES DNR NORMAL % 01
MYELOCYTES DNR NORMAL % 01
PROMYELOCYTES DNR NORMAL % 01
LYMPHOCYTES 35.4 NORMAL % 01
REACTIVE LYMPHOCYTES DNR NORMAL 0-10 % 01
MONOCYTES 11.1 NORMAL % 01
EOSINOPHILS 1.8 NORMAL % 01
BASOPHILS 1.6 NORMAL % 01
BLASTS DNR NORMAL % 01
NUCLEATED RBC DNR NORMAL 0 /100 WBC 01
COMMENT(S) DNR NORMAL 01
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Follow up: Dr. Dr.Raju.A.T (0 minute later)
HEPATITIS B SURFACE ANTIGEN W/REFL CONFIRM
HEPATITIS B SURFACE ANTIGEN NON-REACTIVE NORMAL NON-REACTIVE 01
CONFIRMATION DNR NORMAL 01
HEPATITIS C AB W/REFL TO HCV RNA, QN, PCR
HEPATITIS C ANTIBODY NON-REACTIVE NORMAL NON-REACTIVE 01
SIGNAL TO CUT-OFF 0.01 NORMAL <1.00 01
HSV 1/2 IGG,TYPE SPECIFIC AB
HSV 1 IGG, TYPE SPECIFIC AB <0.90 NORMAL index 01
HSV 2 IGG, TYPE SPECIFIC AB <0.90 NORMAL index 01
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Follow up: Dr. Dr.Raju.A.T (0 minute later)
HEPATITIS A IGM
HEPATITIS A IGM NON-REACTIVE NORMAL NON-REACTIVE 01
CHLAMYDIA/N. GONORRHOEAE RNA, TMA, UROGENITAL
CHLAMYDIA TRACHOMATIS RNA, TMA,
UROGENITAL
NOT DETECTED NORMAL NOT DETECTED 01
NEISSERIA GONORRHOEAE RNA, TMA,
UROGENITAL
NOT DETECTED NORMAL NOT DETECTED 01
COMMENT NORMAL 01
This test was performed using the APTIMA COMBO2 Assay
(Gen-Probe Inc.).
The analytical performance characteristics of this
assay, when used to test SurePath specimens have
been determined by Quest Diagnostics.
RPR (DX) W/REFL TITER AND CONFIRMATORY TESTING
RPR (DX) W/REFL TITER AND
CONFIRMATORY TESTING
NON-REACTIVE NORMAL NON-REACTIVE 01
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Follow up: Dr. Dr.Raju.A.T (0 minute later)
TRICHOMONAS VAGINALIS RNA QUALITATIVE TMA, MALES
TRICHOMONAS VAGINALIS RNA
QUALITATIVE TMA, MALES
Not Detected NORMAL Not Detected 02
HIV 1 RNA, QL TMA
HIV 1 RNA, QL TMA Not Detected NORMAL Not Detected 02
HIV-1 RNA is not detected. No laboratory evidence of
HIV infection.
The HIV-1 RNA qualitative TMA assay is recommended for
use as part of a multi-test HIV-1/HIV-2 screening and
diagnostic algorithm. This assay can also be used to
resolve indeterminate HIV-1 antibody assay results, and
to test for HIV-1 infection in patients less than
2 years old.
When a 4th generation HIV multi-test screening and
diagnostic algorithm is used: If the test results
include a repeatedly reactive HIV-1/2 Antigen/Antibody
(4th generation) screen, followed by negative
confirmatory tests for HIV-1 and 2 antibodies and HIV-1
RNA by TMA, the most likely interpretation is a
non-specific ("biological false positive") reaction
in the 4th generation screening assay. There is no
current laboratory evidence of HIV infection. Repeat
testing on a second specimen is not generally
indicated, but may be appropriate if there are known
risk factors for recent HIV exposure. If recent HIV-2
infection is suspected, additional testing by
HIV-2 DNA/RNA, Qualitative, Real-Time PCR should also
be considered (test code 34977{X}).
This test was performed using the APTIMA(R) HIV-RNA
Qualitative Assay (Gen-Probe)
doctor
Answered by Dr. Dr.Raju.A.T (2 hours later)
Brief Answer:
You have no STD you tested for

Detailed Answer:
Hi,

Relax, the test result spoke for themselves. You do not have the STDs you tested for.

Wish you good health.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4933 Questions

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Is The " HIV 1 RNA , QL TMA" Test

Brief Answer: You do not have HIV Detailed Answer: Hi, Thanks for your query. HIV RNA PCR is gold standard test. This test result if negative, then is definitive that you do not have HIV. Relax, do no more testing. If you have got tests for other STDs like HSV, Hepatitis and Syphilis - please share the report here. I shall have a look and opine. Waiting for your response,