Need help regarding HIV confirmation test

[dispellga]

One of my confirmation test that I did in a private lab came out:
INNO-LIA HIV Western Blot Reactive
Thats all and no other information.

Went to the govt hosp for follow-up and management.
They find the results weird. Its like its a LIA test and suddenly Western blot test again?
They were asking where are all those band markers or to determine is it HIV 1/HIV 2?
So they just took a fresh sample from me again.
anyway I checked online on FUJIREBIO brand INNO-LIA HIV test, the result can be:
Positive, negative or indeterminate, and should tell is it HIV-1/HIV-2/HIV-1 type O

But why did they just stated Reactive, what does it mean?
can anyone help?

[CurfewX]

This is all extremely confusing.  What test did you take that made them do a confirmatory test? A WB is only used AFTER a positive antibody test or after a positive Ab/Ag test.  It isn't a primary test.

[AnxiousNoMore]

dispellga paid for the WB.

[dispellga]

Which is more accurate, LIA or Western blot. Do they give reactive or positive results? Can they differentiate hiv type 1 or 2?

[AnxiousNoMore]

What was your risk and how many days ago was it?

[dispellga]

It was a needle stick injury in a workplace and since im in a rural area, i have no direct access to big labs. The source was a patient with suspected syphilis but negative vdrl, the test was taken nearly 4 months later.

[dispellga]

The patient never returned for a followup to verify his hiv status.

[AnxiousNoMore]

Only non-sex risk is sharing needles that you inject with, so an accidental needle stick prick injury would be no risk. HIV is instantly inactivated in air so is effectively dead and can't infect, so your result will be negative even if the other person is positive.

However I am only telling you the above to relax you while you await results, since your doctors have already tested you and you are awaiting the result.

[AnxiousNoMore]

In other words, I am not disagreeing with your doctors to get the test since they are familiar with the details.

[dispellga]

The risk is small but not absolutely non existent. 0.3% or so they say. However the risk is affected by multiple factors. The needlestick injury was a green needle (large needle) with nearly 1-2cc of blood. Again the worrisome part is the patient had a generalised rash suspected of Syphilis but had a negative VDRL, if this is a retroviral rash, it would mean that the patient maybe highly viraemic during the incident. Putting all this factors together they suspect a higher risk than the baseline.
The ****** part is the western blot was expensive and took one bloody month to come back with a reactive results with no other information. And its written LIA and westernblot (so which is it?) Because of this i could not perform any invasive procedure on my patients at the moment.
And now I have to wait for another confirmation.
Should I consider myself positive now? since it was a confirmatory test and it says reactive?

This is the product they use:
http://search.cosmobio.co.jp/cosmo_search_p/search_gate2/docs/IGT_/80540.20070926.pdf

I checked the interpretation area:
Reactive means the bands are reactive? So a few reactive bands give a result of positive or negative or indeterminate?
SO reactive alone ?
Or is it a screening test again?
SIGH....

[AnxiousNoMore]

I thought this meant you had done another test? "So they just took a fresh sample from me again."

[dispellga]

Yes they took another set of test.

[dispellga]

I see, its just that this test was expensive and cost me alot. Was just wondering how is usually the confirmatory results be like. Sigh..

[AnxiousNoMore]

You took another test and are awaiting the results. That is all that matters.
The lab said they didn't understand the other labs result so no one anywhere will either, so you need to move on from trying to analyze it.