LAB TEST

Screening and diagnosis for HIV

In general, testing for the human immunodeficiency virus (HIV) is a 2-step process that involves a screening test and follow-up tests often called confirmatory tests.

How the Test is Performed

HIV testing can be done by: Drawing blood from a vein A finger prick blood sample An oral fluid swab A urine sample SCREENING TESTS These are tests that check if you've been infected with HIV. The most common tests are described below. An antibody test (also called immunoassay) checks for antibodies to HIV. Your…

How to Prepare for the Test

No preparation is necessary.

How the Test will Feel

When taking a blood sample, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away. There is no discomfort with an oral swab test or the urine test.

Why the Test is Performed

Testing for HIV infection is done for many reasons, including for: Sexually active individuals People who want to be tested People in high-risk groups (men who have sex with men, injection drug users and their sexual partners, and commercial sex workers) People with certain conditions and infections (such as Kaposi…

Normal Results

A negative test result is normal. People with early HIV infection may rarely have a negative test result.

What Abnormal Results Mean

A positive result on a screening test does not confirm that the person has HIV infection. More tests are needed to confirm HIV infection. A negative test result does not rule out HIV infection. There is a period of time, called the window period, between HIV infection and the appearance of anti-HIV antibodies. During…

Risks

With the blood test, veins and arteries vary in size from one person to another, and from one side of the body to the other. Taking blood from some people may be more difficult than from others. Other risks associated with having blood drawn are slight, but may include: Excessive bleeding Fainting or feeling…

References

Centers for Disease Control and Prevention website. Guidelines and recommendations. www.cdc.gov/hivpartners/php/guidelines/ . Updated December 19, 2024. Accessed January 2, 2025. Simonetti F, Dewar R, Maldarelli F. Diagnosis of human immunodeficiency virus infection. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell,…

This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 19/05/2023).

This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.