MEDHELP 翻译 NO.20（行为发生后35的第35天，做了4代的抗体和抗原测试）

摸妹妹

Dear Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD ,it is my great honor to ask you question here.I had a combo test with 4th generation Abbott reagent (contains antigen test and antibody test) yesterday after 35 days after exposure.My questions are as follows:
1.Is my test conclusive?
2.I know that hiv combo test contains antigen test and antibody test, and antibody test contains hiv1 hiv2 and other subtypes.Does antigen test in combo test also can test hiv1 hiv2 and other subtypes(before antibody appears)?
3.Some say that antigen test in combo test is p24 test, it can only test hiv1, is it right?
亲爱的Jose Gonzalez-Garcia医生，很荣幸能问您问题。我昨天，也就是行为发生后35的第35天，做了4代的抗体和抗原测试。下面是我的问题：
1.这个测试结果可靠么？
2.我知道HIV联合测试（也就是4代测试，又叫4代联合测试）同时测抗体和抗原，同时，抗体包括HIV1,HIV2,以及其他亚型。在联合测试里的抗原可以检测出HIV1,HIV2，以及其他亚型么？
3.有人说联合测试里的抗原测试就是P24测试，这个只能检测HIV1，这种说法是正确的么？

医生：
Hello,
Thank you for your post. It would always be useful to know what type of exposure and assess its risk. In any case, I will answer each of your questions here below:
1.Is my test conclusive? THESE TESTS ARE CONSIDERED CONCLUSIVE AFTER 28 DAYS OF ANY POSSIBLE EXPOSURE.
2.I know that hiv combo test contains antigen test and antibody test, and antibody test contains hiv1 hiv2 and other subtypes.Does antigen test in combo test also can test hiv1 hiv2 and other subtypes(before antibody appears)? THE P24 ANTIGEN IS FOR HIV-1 ONLY. HOWEVER HIV-2 IS EXTREMELY RARE AND THE ANTIBODIES ARE USUALLY DETECTABLE ALREADY AFTER 4 WEEKS. WE NEVER SEE CASES OF HIV-2. IT IS MAINLY ASSOCIATED TO CASES IN WEST AFRICA AND IS LESS AGGRESSIVE COMAPRED TO HIV-1, LESS LIKELY TO INFECT. THEREFORE I WOULD NOT WORRY ABOUT HIV-2.
3.Some say that antigen test in combo test is p24 test, it can only test hiv1, is it right? THAT IS CORRECT.
Best wishes,
Dr José
您好，谢谢您的上传。知道什么样的行为以及评估风险是很必要的。在任何情况下，我将在下面回答您的问题。
1.这个测试被认为在任何风险行为发生后的28天（四周）准确。
2.P24抗原只能检测HIV1.但是，HIV2是极度罕见的，并且HIV2的抗体在4周以后通常就已经可以检测出来。我们从来没见过HIV2的案例。这主要集中在西非的案例中，而且HIV2的侵略性必HIV1要孝很多。同时，HIV2也很少感染。因此，我不会担心HIV2.
3.是的，正确。P24检测就是抗原检测，它只能用来检测HIV1.
祝好
Dr José

方得始终

听说隐伏期很长啊、。、