Guidelines on HIV testing at PULSE

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FAST - CHEAP - CLEAN - ACCURATE - DISCREET

Guidelines on HIV testing at PULSE
 

Rapid HIV test at PULSE clinic

 

 

FAST ! - Results in 20 minutes

CHEAP ! - Totally affordable

CLEAN ! - We use disposable single-used instruments.

ACCURATE ! - Conclusive at 28 days post exposure.

DISCREET ! - We do not have to report infections.

WALK IN ! - No appointment required, just walk in.

WEEKENDS ! - We open on everyday plus weekends.

 

 

WHEN SHOULD I GET TESTED FOR HIV?

 

1. I HAVE LOW RISK : Get tested once a year

2. I HAVE HIGH RISK : Get tested every 3 months, and consider taking PrEP.

3. I MIGHT BE EXPOSED TO HIV : HIV screening is all about timing. The right test at the right time means accuracy.

  • If your exposure was less than 3 days ago, see our doctor at the clinic ASAP to immediately discuss if you need emergency pill or PEP.
  • If your exposure was 7-10 days ago, you should do the HIV RNA PCR. Results normally take 7 working days.
  • If your exposure was 14-16 days ago, you should do the HIV Combo test. Results normally take 1 working day.
  • If your exposure was 22-28 days ago, you should do the HIV Antibody test. This test can be easily done at the clinic, it takes 20 minutes.

Also test for HIV if you develope symptoms of FEVER, MUSCLE ACHES, RASHES, SORE THROAT and ENLARGED LYMPH NODES. Note that these symptoms are not present in everyone with HIV so get tested if you think you are at risk.

 

Test

Proper time to get tested

(days after exposure)

Sensitivity

Specificity

Price

Waiting time

HIV Antibody

*3rd generation

At least 21 days after risk

99.91-100%

99.75%

550.-

20 minutes

HIV combo rapid test 

*4th generation

At least 16 days after risk

100%

97.20-99.30% 

1290.-

20 minutes

HIV Ag/Ab 

*4th generation (automated machine)

At least 16 days after risk

99.76-100%

99.81%

850.-

20 minutes

HIV PCR RNA

At least 10 days after risk

95.00%

99.00%

3,690.-

10 days

 

 

SHOULD I WORRY ABOUT INSTRUMENTS USED AT CLINIC?

 

Each day, more healthcare professionals are switching from reusable instruments to disposable, single-use ones. There are several reasons why this tendency is growing, and will continue to grow in the years to come. We are one of these leaders. We have been using disposable instruments from cotton, alcohol pad, single-used needles, gloves and we have been using these disposable products in all our branches in Thailand. If you reallized you concern too much about infection from getting tested at our clinics, do not worry about that we reassure you that what we use here are clean, we are here to protect and safe you from infections not to infect you with any possible infections!!! If you are worried unreasonably and you realize that seeking help from psychiatrist could be helpful, we can give you a list of recommended psychiatrist who will provide high quality non-judgmental non-stigmatizing service in private health care facilities.

 

 

SHOULD I ALSO TEST FOR OTHER STDs?

 

If you have been at risk of HIV exposure then it is very likely that you have been exposed to other STDs. Because of this, we highly recommend that you also screen for other STDs such as Syphilis, Gonorrhea, Chlamydia, Hepatitis, Herpes and Warts.

 

 

 

TOO WORRIED TO WAIT?

 

The fastest way to find out if you have been infected with HIV or not is to do the HIV PCR TEST 7-10 days after the potential exposure.

The next earliest accurate test is the HIV Ag/Ab Combo test at 15-17 days post exposure.

All other HIV tests are subject to a 3 months window period. In other words, you have to wait for 3 months before knowing for sure if you have been infected with HIV or not. In this time, you can potentially spread it to your sexual partners without even realizing it.

If you took PEP before it is recommended that you consider taking PrEP after that for prevention.

 

* Results for HIV, Syphilis, Hepatitis A, Hepatitis B, Hepatitis C will be reported in 20 minutes.

** Herpes Simplex Virus Type I & II will be reported in 3 days

*** Other STI tests will usually take between 7 working days.

**** In case test kits are out of stock, we will send specimen to our laboratory, you will get the result within 1 working day.

 

Note:

- Doctor fee (Doctor fee starting from 800THB is not included in the price list) is not included in price list.

- You don't have to pay doctor fee for PULSExpress service - just get tested, no consultation needed.

- Lab test results can be sent to your email address.

- Prices are subject to change without notices.

- Appointment is preferred, book appointment online

Add us on Line and stay in touch.

LINE @pulseclinic

Estimated HIV transmission risk per exposure for specific activities and events

 

ActivityRisk-per-exposure
Vaginal sex, female-to-male, studies in high-income countries0.04% (1:2380)
Vaginal sex, male-to-female, studies in high-income countries0.08% (1:1234)
Vaginal sex, female-to-male, studies in low-income countries0.38% (1:263)
Vaginal sex, male-to-female, studies in low-income countries0.30% (1:333)
Vaginal sex, source partner is asymptomatic0.07% (1:1428)
Vaginal sex, source partner has late-stage disease0.55% (1:180)
Receptive anal sex amongst gay men, partner unknown status0.27% (1:370)
Receptive anal sex amongst gay men, partner HIV positive0.82% (1:123)
Receptive anal sex with condom, gay men, partner unknown status0.18% (1:555)
Insertive anal sex, gay men, partner unknown status0.06% (1:1666)
Insertive anal sex with condom, gay men, partner unknown status0.04% (1:2500)
Receptive fellatioEstimates range from 0.00% to 0.04% (1:2500)
Mother-to-child, mother takes at least two weeks antiretroviral therapy0.8% (1:125)
Mother-to-child, mother takes combination therapy, viral load below 500.1% (1:1000)
Injecting drug useEstimates range from 0.63% (1:158) to 2.4% (1:41)
Needlestick injury, no other risk factors0.13% (1:769)
Blood transfusion with contaminated blood92.5% (9:10)

Sources: vaginal sex;1 anal sex;2 fellatio;3 2 mother-to-child;4 other activities.5

 

References

 

1. Boily MC et al. Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies. Lancet Infect Dis 9(2): 118-129, 2009

2. Vittinghoff E et al. Per-contact risk of human immunodeficiency virus transmission between male sexual partners. American Journal of Epidemiology 150: 306-311, 1999

3. Del Romero J et al. Evaluating the risk of HIV transmission through unprotected orogenital sex. AIDS 16(9): 1296-1297, 2002

4. Townsend C et al. Low rates of mother-to-child transmission of HIV following effective pregnancy interventions in the United Kingdom and Ireland, 2000-2006. AIDS 22: 973-981, 2008

5. Baggaley RF et al. Risk of HIV-1 transmission for parenteral exposure and blood transfusion. AIDS 20: 805-812, 2006

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