HIV/AIDS

Updated 26 June 2014

What is the "window period?"

The window period is the period between the onset of HIV infection and the appearance of detectable antibodies to the virus.

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The window period is the period between the onset of HIV infection and the appearance of detectable antibodies to the virus. In the case of the most sensitive HIV antibody tests currently recommended, the window period is about three to four weeks. This period can, however, be longer.

Any antibody-based blood tests (such as the ELISA, rapid tests and the Western Blot) conducted during this window period may give false negative results.

Antibodies are produced from about three weeks after infection and usually become detectable by four to six weeks after infection. This four- to six-week period between infection and a positive test is called the window period.

This means that although the virus is present in the person's blood there are, as yet, no (detectable) antibodies in the blood. In such cases the tests erroneously show that the person has not been infected. During this window period the individual is already infectious and may unknowingly infect other people. People who are exposed to or who practise high-risk behaviour are well advised to arrange for a repeat test after three to six months - and to use safer sex practices like condoms while waiting for their results.

In some people, the window period may be longer; although unusual, it may take up to three months for an antibody test to become positive after they have been infected. People who think that they might have been exposed to infection are therefore usually asked to wait at least four weeks before having the HIV test. Also, even if the first test is negative (i.e. no antibodies detected), a follow-up test should be done three months after the suspected exposure.

 

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HIV/Aids expert

Dr Sindisiwe van Zyl qualified at the University of Pretoria before working for an HIV/AIDS NPO in Soweto for many years. She was named one of the Mail & Guardian's Top 200 Young South Africans in 2012.

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