SlideShare a Scribd company logo
Bishwash Poudel
-Medical Laboratory Technologist
(BSc.MLT-RGUHS, Bangalore)
INTRODUTION
What is HIV?
 Is a retrovirus that compromises the immune system
 Invades T-cell and multiplies once it gets inside of it
 Etiological agent of AIDS
HISTORY
 1981- 1st reported case of AIDS
 1982- 1st use of ‘AIDS’ acronyms
 1984- causative agent identified
 1985- 1st HIV antibody test
 1986- 1st use of ‘HIV’ acronym
 1987- 1st medication
Mode of Transmission
PATHOGENESIS
STAGES OF HIV INFECTION
 Acute HIV Disease or Acute Retroviral Syndrome
 Asymptomatic Stage
 Persistent Generalized Lymphadenopathy
 Symptomatic HIV infection( AIDS Related Complex,
ARC)
 AIDS
LAB DIAGNOSIS
Specific Tests for HIV Infection
 Screening tests(ERS)(antibody detection):
• ELISA ( takes 2-3 hours)
• Rapid/ Simple test (takes < 30 minutes)
 Supplemental tests ( antibody detection):
• Western blot assay
• Immunofluorescence assay
• Radio-immuno-precipitation assay(RIPA)
• Line immunoassay(LIA)
Confirmatory tests
 P24 antigen detection
 Viral culture- by Co- cultivation technique
 HIV RNA(best confirmatory method)
- Reverse transcriptase PCR(RT-PCR)
- Branched DNA assay
- NASBA(Nucleic acid sequence based amplification).
- Real time RT-PCR- for estimating viral load.
- HIV DNA detection- Useful for diagnosis of pediatric HIV.
Non- specific Immunological Methods
 Low CD4T cell count
 Hypergammaglobulinemia
 Altered CD4:CD8 T cell ratio.
PROCEDURE
 Collect sample from nursing station
 Centrifuge
 Turn on the power supply(Bio-Rad EVOLIS)
 Run the daily maintenance
 Prepare the required reagents and strips of the HBsAg
 Program the HBsAg test
 Run the test
 After result comes export the results to Glosys
TREATMENT
 Highly active Antiretroviral Therapy (HAART)
A. Nucleoside Reverse Transcriptase Inhibitors :
1. Zidovudine (AZT, ZDV)
2. didanosine (ddI)
3. Zalcitabine (ddC )
4. Stavudine (d4T )
5. Lamivudine (3TC )
B. Non-nucleoside Reverse Transcriptase Inhibitors :
1. Nevirapine
2. Delavirdine
C. Protease Inhibitors (PI's) :
1. Indinavir (Crixivan)
2. Ritonavir (Norvir)
3. Nelfinavir mesylate (Viracept)
4. Saquinavir (Invirase)
PREVENTION
Human immunodeficiency virus (HIV)

More Related Content

What's hot

Diagnosis of COVID-19
Diagnosis of COVID-19Diagnosis of COVID-19
Diagnosis of COVID-19
Dr. Anuja Joshi
 
Diagnosis of COVID19
Diagnosis of COVID19Diagnosis of COVID19
SARS-CoV-2 Rapid ANTIGEN TEST PPT
SARS-CoV-2 Rapid ANTIGEN  TEST PPTSARS-CoV-2 Rapid ANTIGEN  TEST PPT
SARS-CoV-2 Rapid ANTIGEN TEST PPT
Vindhya Vidhyadharan
 
BRM Virology, Viral Immunology and Pathology
BRM Virology, Viral Immunology and PathologyBRM Virology, Viral Immunology and Pathology
BRM Virology, Viral Immunology and Pathology
Biomedical Research Models, Inc.
 
Lab diagnosis hiv
Lab diagnosis hivLab diagnosis hiv
Lab diagnosis hiv
Upama Sishan
 
Measles and mumps, two related viruses with distinct challenges for global va...
Measles and mumps, two related viruses with distinct challenges for global va...Measles and mumps, two related viruses with distinct challenges for global va...
Measles and mumps, two related viruses with distinct challenges for global va...
European Centre for Disease Prevention and Control
 

What's hot (6)

Diagnosis of COVID-19
Diagnosis of COVID-19Diagnosis of COVID-19
Diagnosis of COVID-19
 
Diagnosis of COVID19
Diagnosis of COVID19Diagnosis of COVID19
Diagnosis of COVID19
 
SARS-CoV-2 Rapid ANTIGEN TEST PPT
SARS-CoV-2 Rapid ANTIGEN  TEST PPTSARS-CoV-2 Rapid ANTIGEN  TEST PPT
SARS-CoV-2 Rapid ANTIGEN TEST PPT
 
BRM Virology, Viral Immunology and Pathology
BRM Virology, Viral Immunology and PathologyBRM Virology, Viral Immunology and Pathology
BRM Virology, Viral Immunology and Pathology
 
Lab diagnosis hiv
Lab diagnosis hivLab diagnosis hiv
Lab diagnosis hiv
 
Measles and mumps, two related viruses with distinct challenges for global va...
Measles and mumps, two related viruses with distinct challenges for global va...Measles and mumps, two related viruses with distinct challenges for global va...
Measles and mumps, two related viruses with distinct challenges for global va...
 

Similar to Human immunodeficiency virus (HIV)

Aids and hepatits
Aids and hepatitsAids and hepatits
Aids and hepatits
DR DAVIS NADAKKAVUKARAN
 
Laboratory diagnosis of hiv infections
Laboratory diagnosis  of hiv infectionsLaboratory diagnosis  of hiv infections
Laboratory diagnosis of hiv infectionsKashif Khokhar
 
EPIDEMIOLOGY OF HIV.pptx
EPIDEMIOLOGY OF HIV.pptxEPIDEMIOLOGY OF HIV.pptx
EPIDEMIOLOGY OF HIV.pptx
sharadapriyadarshiSw
 
site_lec9_2018.pptx
site_lec9_2018.pptxsite_lec9_2018.pptx
site_lec9_2018.pptx
AditiJain307041
 
HIV Testing
HIV TestingHIV Testing
HIV Testing
dranjansarma
 
RICKETTSIAL INFECTION.pptx
RICKETTSIAL INFECTION.pptxRICKETTSIAL INFECTION.pptx
RICKETTSIAL INFECTION.pptx
MukeshTudu5
 
Retroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDS
Retroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDSRetroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDS
Retroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDS
Eneutron
 
HIV - Human Immunodeficiency Virus
HIV - Human Immunodeficiency VirusHIV - Human Immunodeficiency Virus
HIV - Human Immunodeficiency Virus
Meenatchisundaram Subramani
 
AIDS.ppt
AIDS.pptAIDS.ppt
AIDS/HIV Testing Methodology (www.ubio.in)
AIDS/HIV Testing Methodology (www.ubio.in)AIDS/HIV Testing Methodology (www.ubio.in)
AIDS/HIV Testing Methodology (www.ubio.in)
ubio Biotechnology Systems Pvt Ltd
 
Hiv lecture
Hiv lecture Hiv lecture
Hiv lecture
NAIF AL SAGLAN
 
Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13
Dr. Rubz
 
256442 hiv
256442 hiv256442 hiv
256442 hivYoAmoNYC
 
HIV - A Summary Review
HIV - A Summary ReviewHIV - A Summary Review
HIV - A Summary Review
Examville.com LLC
 
256442 hiv
256442 hiv256442 hiv
256442 hivabctutor
 
Seminar on hiv diagnosis and management by Dr Sohanlal Sharma
Seminar on hiv diagnosis and management by Dr Sohanlal SharmaSeminar on hiv diagnosis and management by Dr Sohanlal Sharma
Seminar on hiv diagnosis and management by Dr Sohanlal Sharma
Pradeep Singh
 
hiv/aids
hiv/aidshiv/aids
hiv/aids
ZemenuAtalay
 
Hiv lab diagnosis
Hiv lab diagnosis Hiv lab diagnosis
Hiv lab diagnosis
Mostafa Mahmoud
 
Infectious diseases
Infectious diseasesInfectious diseases
Infectious diseasesSpringer
 

Similar to Human immunodeficiency virus (HIV) (20)

Aids and hepatits
Aids and hepatitsAids and hepatits
Aids and hepatits
 
Laboratory diagnosis of hiv infections
Laboratory diagnosis  of hiv infectionsLaboratory diagnosis  of hiv infections
Laboratory diagnosis of hiv infections
 
HIV TB FK UMY.pdf
HIV TB FK UMY.pdfHIV TB FK UMY.pdf
HIV TB FK UMY.pdf
 
EPIDEMIOLOGY OF HIV.pptx
EPIDEMIOLOGY OF HIV.pptxEPIDEMIOLOGY OF HIV.pptx
EPIDEMIOLOGY OF HIV.pptx
 
site_lec9_2018.pptx
site_lec9_2018.pptxsite_lec9_2018.pptx
site_lec9_2018.pptx
 
HIV Testing
HIV TestingHIV Testing
HIV Testing
 
RICKETTSIAL INFECTION.pptx
RICKETTSIAL INFECTION.pptxRICKETTSIAL INFECTION.pptx
RICKETTSIAL INFECTION.pptx
 
Retroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDS
Retroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDSRetroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDS
Retroviruses. Human Immunodeficiency virus (HIV). Diagnostics of HIV & AIDS
 
HIV - Human Immunodeficiency Virus
HIV - Human Immunodeficiency VirusHIV - Human Immunodeficiency Virus
HIV - Human Immunodeficiency Virus
 
AIDS.ppt
AIDS.pptAIDS.ppt
AIDS.ppt
 
AIDS/HIV Testing Methodology (www.ubio.in)
AIDS/HIV Testing Methodology (www.ubio.in)AIDS/HIV Testing Methodology (www.ubio.in)
AIDS/HIV Testing Methodology (www.ubio.in)
 
Hiv lecture
Hiv lecture Hiv lecture
Hiv lecture
 
Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13Bohomolets Microbiology Lecture #13
Bohomolets Microbiology Lecture #13
 
256442 hiv
256442 hiv256442 hiv
256442 hiv
 
HIV - A Summary Review
HIV - A Summary ReviewHIV - A Summary Review
HIV - A Summary Review
 
256442 hiv
256442 hiv256442 hiv
256442 hiv
 
Seminar on hiv diagnosis and management by Dr Sohanlal Sharma
Seminar on hiv diagnosis and management by Dr Sohanlal SharmaSeminar on hiv diagnosis and management by Dr Sohanlal Sharma
Seminar on hiv diagnosis and management by Dr Sohanlal Sharma
 
hiv/aids
hiv/aidshiv/aids
hiv/aids
 
Hiv lab diagnosis
Hiv lab diagnosis Hiv lab diagnosis
Hiv lab diagnosis
 
Infectious diseases
Infectious diseasesInfectious diseases
Infectious diseases
 

Recently uploaded

GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
ranishasharma67
 
Dehradun ❤CALL Girls 8901183002 ❤ℂall Girls IN Dehradun ESCORT SERVICE❤
Dehradun ❤CALL Girls  8901183002 ❤ℂall  Girls IN Dehradun ESCORT SERVICE❤Dehradun ❤CALL Girls  8901183002 ❤ℂall  Girls IN Dehradun ESCORT SERVICE❤
Dehradun ❤CALL Girls 8901183002 ❤ℂall Girls IN Dehradun ESCORT SERVICE❤
aunty1x2
 
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.pptNursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Rommel Luis III Israel
 
A Community health , health for prisoners
A Community health  , health for prisonersA Community health  , health for prisoners
A Community health , health for prisoners
Ahmed Elmi
 
Navigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and BeyondNavigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and Beyond
Aboud Health Group
 
Deepfake Detection_Using Machine Learning .pptx
Deepfake Detection_Using Machine Learning .pptxDeepfake Detection_Using Machine Learning .pptx
Deepfake Detection_Using Machine Learning .pptx
mahalsuraj389
 
Introduction to Forensic Pathology course
Introduction to Forensic Pathology courseIntroduction to Forensic Pathology course
Introduction to Forensic Pathology course
fprxsqvnz5
 
How many patients does case series should have In comparison to case reports.pdf
How many patients does case series should have In comparison to case reports.pdfHow many patients does case series should have In comparison to case reports.pdf
How many patients does case series should have In comparison to case reports.pdf
pubrica101
 
Navigating the Health Insurance Market_ Understanding Trends and Options.pdf
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfNavigating the Health Insurance Market_ Understanding Trends and Options.pdf
Navigating the Health Insurance Market_ Understanding Trends and Options.pdf
Enterprise Wired
 
The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........
TheDocs
 
Telehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptxTelehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptx
The Harvest Clinic
 
Artificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular TherapyArtificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular Therapy
Iris Thiele Isip-Tan
 
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICEJaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
ranishasharma67
 
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
ranishasharma67
 
BOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptx
BOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptxBOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptx
BOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptx
AnushriSrivastav
 
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cell
 
QA Paediatric dentistry department, Hospital Melaka 2020
QA Paediatric dentistry department, Hospital Melaka 2020QA Paediatric dentistry department, Hospital Melaka 2020
QA Paediatric dentistry department, Hospital Melaka 2020
Azreen Aj
 
Secret Tantric VIP Erotic Massage London
Secret Tantric VIP Erotic Massage LondonSecret Tantric VIP Erotic Massage London
Secret Tantric VIP Erotic Massage London
Secret Tantric - VIP Erotic Massage London
 
Preventing Pickleball Injuries & Treatment
Preventing Pickleball Injuries & TreatmentPreventing Pickleball Injuries & Treatment
Preventing Pickleball Injuries & Treatment
LAB Sports Therapy
 
CANCER CANCER CANCER CANCER CANCER CANCER
CANCER  CANCER  CANCER  CANCER  CANCER CANCERCANCER  CANCER  CANCER  CANCER  CANCER CANCER
CANCER CANCER CANCER CANCER CANCER CANCER
KRISTELLEGAMBOA2
 

Recently uploaded (20)

GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
GURGAON Call Girls ❤8901183002❤ #ℂALL# #gIRLS# In GURGAON ₹,2500 Cash Payment...
 
Dehradun ❤CALL Girls 8901183002 ❤ℂall Girls IN Dehradun ESCORT SERVICE❤
Dehradun ❤CALL Girls  8901183002 ❤ℂall  Girls IN Dehradun ESCORT SERVICE❤Dehradun ❤CALL Girls  8901183002 ❤ℂall  Girls IN Dehradun ESCORT SERVICE❤
Dehradun ❤CALL Girls 8901183002 ❤ℂall Girls IN Dehradun ESCORT SERVICE❤
 
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.pptNursing Care of Client With Acute And Chronic Renal Failure.ppt
Nursing Care of Client With Acute And Chronic Renal Failure.ppt
 
A Community health , health for prisoners
A Community health  , health for prisonersA Community health  , health for prisoners
A Community health , health for prisoners
 
Navigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and BeyondNavigating Women's Health: Understanding Prenatal Care and Beyond
Navigating Women's Health: Understanding Prenatal Care and Beyond
 
Deepfake Detection_Using Machine Learning .pptx
Deepfake Detection_Using Machine Learning .pptxDeepfake Detection_Using Machine Learning .pptx
Deepfake Detection_Using Machine Learning .pptx
 
Introduction to Forensic Pathology course
Introduction to Forensic Pathology courseIntroduction to Forensic Pathology course
Introduction to Forensic Pathology course
 
How many patients does case series should have In comparison to case reports.pdf
How many patients does case series should have In comparison to case reports.pdfHow many patients does case series should have In comparison to case reports.pdf
How many patients does case series should have In comparison to case reports.pdf
 
Navigating the Health Insurance Market_ Understanding Trends and Options.pdf
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfNavigating the Health Insurance Market_ Understanding Trends and Options.pdf
Navigating the Health Insurance Market_ Understanding Trends and Options.pdf
 
The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........The Docs PPG - 30.05.2024.pptx..........
The Docs PPG - 30.05.2024.pptx..........
 
Telehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptxTelehealth Psychology Building Trust with Clients.pptx
Telehealth Psychology Building Trust with Clients.pptx
 
Artificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular TherapyArtificial Intelligence to Optimize Cardiovascular Therapy
Artificial Intelligence to Optimize Cardiovascular Therapy
 
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICEJaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
Jaipur ❤cALL gIRLS 89O1183002 ❤ℂall Girls IN JaiPuR ESCORT SERVICE
 
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
💘Ludhiana ℂall Girls 📞]][89011★83002][[ 📱 ❤ESCORTS service in Ludhiana💃💦Ludhi...
 
BOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptx
BOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptxBOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptx
BOWEL ELIMINATION BY ANUSHRI SRIVASTAVA.pptx
 
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
 
QA Paediatric dentistry department, Hospital Melaka 2020
QA Paediatric dentistry department, Hospital Melaka 2020QA Paediatric dentistry department, Hospital Melaka 2020
QA Paediatric dentistry department, Hospital Melaka 2020
 
Secret Tantric VIP Erotic Massage London
Secret Tantric VIP Erotic Massage LondonSecret Tantric VIP Erotic Massage London
Secret Tantric VIP Erotic Massage London
 
Preventing Pickleball Injuries & Treatment
Preventing Pickleball Injuries & TreatmentPreventing Pickleball Injuries & Treatment
Preventing Pickleball Injuries & Treatment
 
CANCER CANCER CANCER CANCER CANCER CANCER
CANCER  CANCER  CANCER  CANCER  CANCER CANCERCANCER  CANCER  CANCER  CANCER  CANCER CANCER
CANCER CANCER CANCER CANCER CANCER CANCER
 

Human immunodeficiency virus (HIV)

  • 1. Bishwash Poudel -Medical Laboratory Technologist (BSc.MLT-RGUHS, Bangalore)
  • 2. INTRODUTION What is HIV?  Is a retrovirus that compromises the immune system  Invades T-cell and multiplies once it gets inside of it  Etiological agent of AIDS
  • 3. HISTORY  1981- 1st reported case of AIDS  1982- 1st use of ‘AIDS’ acronyms  1984- causative agent identified  1985- 1st HIV antibody test  1986- 1st use of ‘HIV’ acronym  1987- 1st medication
  • 4.
  • 5.
  • 8. STAGES OF HIV INFECTION
  • 9.  Acute HIV Disease or Acute Retroviral Syndrome  Asymptomatic Stage  Persistent Generalized Lymphadenopathy  Symptomatic HIV infection( AIDS Related Complex, ARC)  AIDS
  • 10. LAB DIAGNOSIS Specific Tests for HIV Infection  Screening tests(ERS)(antibody detection): • ELISA ( takes 2-3 hours) • Rapid/ Simple test (takes < 30 minutes)
  • 11.  Supplemental tests ( antibody detection): • Western blot assay • Immunofluorescence assay • Radio-immuno-precipitation assay(RIPA) • Line immunoassay(LIA)
  • 12. Confirmatory tests  P24 antigen detection  Viral culture- by Co- cultivation technique  HIV RNA(best confirmatory method) - Reverse transcriptase PCR(RT-PCR) - Branched DNA assay - NASBA(Nucleic acid sequence based amplification). - Real time RT-PCR- for estimating viral load. - HIV DNA detection- Useful for diagnosis of pediatric HIV.
  • 13. Non- specific Immunological Methods  Low CD4T cell count  Hypergammaglobulinemia  Altered CD4:CD8 T cell ratio.
  • 14.
  • 15. PROCEDURE  Collect sample from nursing station  Centrifuge  Turn on the power supply(Bio-Rad EVOLIS)  Run the daily maintenance  Prepare the required reagents and strips of the HBsAg  Program the HBsAg test  Run the test  After result comes export the results to Glosys
  • 16. TREATMENT  Highly active Antiretroviral Therapy (HAART) A. Nucleoside Reverse Transcriptase Inhibitors : 1. Zidovudine (AZT, ZDV) 2. didanosine (ddI) 3. Zalcitabine (ddC ) 4. Stavudine (d4T ) 5. Lamivudine (3TC )
  • 17. B. Non-nucleoside Reverse Transcriptase Inhibitors : 1. Nevirapine 2. Delavirdine C. Protease Inhibitors (PI's) : 1. Indinavir (Crixivan) 2. Ritonavir (Norvir) 3. Nelfinavir mesylate (Viracept) 4. Saquinavir (Invirase)