NYC Health Advisory: Missed Opportunity to Detect Acute HIV Infection

Posted October 2012

The NYC Department of Health and Mental Hygiene has issued a Health Advisory to inform providers about the importance of performing additional diagnosic testing in patients who have a positive screening test for HIV but a negative confirmatory test. Recently, a patient with acute HIV infection remained undiagnosed for one month after initial presentation because the provider did not order an HIV-1 nucleic acid test to resolve a discrepancy between a positive HIV antibody screening test and a negative HIV Western blot. The case emphasizes the need for providers to understand the performance characteristics of new tests for HIV infection.

To download and view the complete 2012 Health Advisory #29, please click here.