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Hi Doctor, I Had Taken The HIV , Hep B,

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Posted on Fri, 6 Sep 2019
Question: Hi Doctor,

I had taken the HIV, Hep B, Hep C tests in 2018. All were non-reactive. In order for me to confirm that non-reactive is negative, I mailed the lab asking that 'Is non-reactive equal to negative?'
The lab replied that non-reactive is same as negative. My test result is negative for HIV, Hep B, Hep C.

However, at the end of mail, they have mentioned the below

'However, we always recommend that lab results to be correlated with clinical significance & patient history by physicians. Hope this mail clarifies your doubts, however, we strongly recommend to consult your physician for any further details on this report.'

My query today is why they have mentioned the phrase 'clinical significance & patient history' . I am not a patient. I only went for the test.

What does patient history mean?

I am on Sertraline and Rivotril for Severe health anxiety

Regards,
Shan
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Follow up: Dr. Dr. Kakkar (12 minutes later)
Please note that the Internal medicine specialist also took the confirmatory test at his hospital for my mental satisfaction and mentioned that I am perfectly all right.

Both Internal medicine specialist and psychiatrist mentioned that I should not be taking further tests.

I am on Sertraline 100 mg. Psychiatrist has asked me to take rivotril 0.5 mg on need basis.

Regards,
Shan
doctor
Answered by Dr. Dr. Kakkar (28 minutes later)
Brief Answer:
Regarding lab tests

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

This is a typical disclaimer that labs mention. This is to avoid any misinterpretation. In other words, to make sure that lab tests were not done too soon to avoid a falsely negative result and to ascertain that the timing of tests correlate with the history of the patient e.g a screening lab test for HIV if done after just 2 days of risk exposure, even if negative, is bound to be unreliable, simply because it was done too soon after exposure and therefore need to be repeated after a reasonable period of time (window period) so as to be considered reliable. Here comes the importance of clinical significance or clinical history which guides the ideal time or time interval for lab tests to be conducted after risk exposure in order to assume reliability and significance.
So, if your physician says that you don't need any further tests, it means that he has said that after checking the reliability of those tests in accordance with your history.

Hope I have answered your query..Let me know if you need any more assistance.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9609 Questions

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Hi Doctor, I Had Taken The HIV , Hep B,

Please note that the Internal medicine specialist also took the confirmatory test at his hospital for my mental satisfaction and mentioned that I am perfectly all right. Both Internal medicine specialist and psychiatrist mentioned that I should not be taking further tests. I am on Sertraline 100 mg. Psychiatrist has asked me to take rivotril 0.5 mg on need basis. Regards, Shan