Fri May 18 07:23:00 SGT 2012

SHIM CLINIC
STD CLINIC SINGAPORE™
168 Bedok South Avenue 3 #01-473
Singapore 460168

Tel: (+65) 6100 7446
Fax: (+65) 6449 7446
24hr Answering Tel: (+65) 6333 5550
Web: HIV DNA Test: Sexual Health, STD CLINIC SINGAPORE™ (SG)

Opening Hours
Monday to Friday: 9 am to 3 pm, 7 pm to 11 pm
Saturday & Sunday: 7 pm to 11 pm
Public Holidays: Closed
Last registration: half hour before closing time.
Walk-in clinic. Appointments not required.
Bring NRIC, Work Pass or Passport for registration.
If for STD testing, hold urine 4 hours before arriving.

HIV DNA Test: Sexual Health, STD CLINIC SINGAPORE™ (SG)

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Summary

HIV DNA Test: Sexual Health, STD CLINIC SINGAPORE™ (SG) @singaporesexualhealth.com: HIV DNA (deoxyribonucleic acid) PCR NAT (nucleic acid test) - clinic, Singapore. Private and confidential service. Definitions, references, and latest news.

Topics

If you have been exposed to HIV in the last 72 hours, early HIV PEP (post-exposure prophylaxis/prevention) treatment can stop you from getting infected with HIV.

Services

HIV
HIV Symptoms
HIV Screening / HIV Test / HIV Check
- HIV Antibody Test
  - HIV Blood Test most commonly sent to the laboratory
  - HIV Rapid Test
    - HIV Test Kit / HIV Oral Test / HIV Saliva Test
  - HIV Western Blot Test (for HIV confirmation, not used for screening)
- HIV Antigen Test
  - HIV p24 Test
- HIV NAT (nucleic acid test) / HIV PCR Test
  - HIV DNA Test
  - HIV RNA Test
HIV Risk
HIV Prevention / HIV PEP (Post-Exposure Prophylaxis)
HIV Clinic

Note: With the exception of the Western Blot test, the antibody or antigen test is usually a HIV ELISA test

HIV Test

The HIV window period is the time from HIV infection until a HIV Test can detect any change. Within the HIV window period, the HIV Test would be negative. During this period, the HIV viral load is extremely high, thus making the person highly infectious.

OraQuick® HIV Test Kit / HIV rapid test cost/price is S$60/=. No additional consultation fees are charged if the clinic attendance is only for this test.

Window period	Test	Notes	Cost / Price
2 weeks	HIV DNA test	A HIV NAT (nucleic acid test) for HIV-1 proviral DNA A HIV PCR (polymerase chain reaction) test. Method: Proviral DNA Polymerase Chain Reaction (Roche Amplicor HIV-1 DNA Test, V1.5) This test uses primers SK145 and SKCC1B to define a sequence of 155 nucleotides within a highly conserved region of the HIV-1 gag gene. HIV window period can be as short as 10-12 days Usually used for the early diagnosis of HIV infection in neonates born to HIV+ mothers. As maternal antibodies circulate in the child for several months, the HIV antibody test would be positive. Patient to arrive at the clinic before 10am (Monday to Friday only)	SG$752/=
1 month	HIV p24 antigen test	A HIV antigen test that tests for the HIV p24 antigen, which appears in early infection, before the appearance of HIV antibodies. But later declines when the HIV antibodies begin to appear. Usually packaged with the HIV-1/2 IgM/G antibody test, to becomes a 4th generation HIV ELISA test	SG$48/=
3 months	OraQuick®	A HIV antibody test that tests for the HIV-1/2 IgM & IgG antibodies A 3th generation HIV ELISA test adapted for rapid turnaround to become a HIV rapid test It is a HIV test kit for HIV oral test / HIV saliva test, or finger prick blood test Results available in 20 minutes. Used for HIV screening Approved for statutory testing in Singapore - result can be used for students' pass, work permit, and employment pass application.	SG$60/=
3 months	HIV blood test most commonly sent to the lab.	A HIV antibody test that tests for the HIV-1/2 IgM & IgG antibodies A 3th generation HIV ELISA test Blood sampled and sent to the laboratory. Results in 1-2 days Used for HIV screening	SG$12/=
HIV confirmation	HIV western blot test	A HIV antibody test Used to confirm the presence or absence of HIV infection after a positive HIV screening test	SG$275/=
HIV follow-up	HIV RNA test	A HIV NAT (nucleic acid test) for HIV-1 RNA of the free virus, giving the HIV viral load A HIV PCR (polymerase chain reaction) test. Test Method: Abbott Realtime HIV-1 Usually used to monitor the progress of HIV+ patients on treatment. Patient to arrive at the clinic before 10am (Monday to Friday only)	SG$717/=

References

Sexual risk (of STD/HIV/pregnancy), and what you can do before and after exposure.

Timeline	Event / Available resources
Before exposure	Abstain from sex, Be faithful, or Condom use Circumcision (males only) STD vaccine HIV PrEP (pre-exposure prophylaxis) Female contraception
STD / HIV exposure	Unsafe sex / unprotected sex: No condom Condom broke Condom slip
0-72 hours	HIV prevention / HIV PEP (post-exposure prophylaxis) treatment Stop HIV infection after exposure. Emergency contraception (females only)
2 weeks	HIV PCR test Arrive at the clinic before 10am. (Monday to Friday only) HIV DNA test HIV RNA test
1 month	HIV p24 antigen test
3 months	HIV rapid test will be positive in 97% of infected individuals HIV test cost is SG$60/= (HIV test only) Oral fluid or finger prick blood sampling. Results in 20 minutes. STD testing
6 months	HIV rapid test will be positive in 99.7% of infected individuals
Anytime	Full/total/complete STD testing: Men who practice insertive sex SG$497/= Women who practice vaginal sex SG$737/= (includes Digene® HPV DNA & ThinPrep® test) Either sex practicing anal sex SG$697/= (includes Digene® HPV DNA test) Other variations - discuss with the doctor. Hold your urine in your bladder for at least 4 hours. STD treatment when STD symptoms appear. Genital warts treatment/removal/cure

If you have been exposed to HIV in the last 72 hours, early HIV PEP (post-exposure prophylaxis/prevention) treatment can stop you from getting infected with HIV.

References

Latest News

Health Buzz: Home HIV Test Backed By FDA Panel
Wed, 16 May 2012 13:30:00 +0100 | U.S. News - Health
How to cope with criticism; what role do drugs play in determining longevity? (Source: U.S. News - Health)

FDA Panel Recommends Rapid, At-Home HIV Test
Wed, 16 May 2012 04:00:00 +0100 | Physician's First Watch current issue
(Source: Physician's First Watch current issue)

FDA panel backs OraSure's In-Home HIV test
Wed, 16 May 2012 04:00:00 +0100 | Modern Medicine
WASHINGTON (Reuters) - A U.S. Food and Drug Administration panel of outside experts concluded that OraSure Technologies Inc's over-the-counter, in-home HIV test is reasonably safe and effective for determining whether someone has the ---- virus. (Source: Modern Medicine)

FDA Panel Says Yes to Home HIV Test
Wed, 16 May 2012 03:13:11 +0100 | MedPage Today Infectious Disease
(MedPage Today) -- GAITHERSBURG, Md. -- An FDA advisory committee has voted 17-0 to recommend approval of the OraQuick In-Home HIV Test. If approved, it will be the first over-the-counter home HIV test. (Source: MedPage Today Infectious Disease)

OraQuick(R) In-Home HIV Test Receives Unanimous Positive Recommendation From FDA Advisory Committee
Tue, 15 May 2012 21:56:00 +0100 | Medical News (via PRIMEZONE)
BETHLEHEM, Pa., May 15, 2012 (GLOBE NEWSWIRE) -- OraSure Technologies, Inc. (Nasdaq:OSUR) today announced that the U.S. Food and Drug Administration (FDA) Blood Products Advisory Committee (BPAC) provided a unanimous positive recommendation for the Company's OraQuick(r) In-Home HIV Test. The BPAC provides advice to the FDA on issues related to the safety and effectiveness of biological products and medical devices seeking FDA approval. (Source: Medical News (via PRIMEZONE))

BREAKING NEWS:FDA Panel Says Yes to Home HIV Test
Tue, 15 May 2012 21:13:07 +0100 | MedPage Today Infectious Disease
(MedPage Today) -- GAITHERSBURG, Md. -- An FDA advisory committee has voted 17-0 to recommend approval for the OraQuick In-Home HIV Test. If approved, it will be the first over-the-counter home HIV test. (Source: MedPage Today Infectious Disease)

FDA Panel to Consider At-Home HIV Test
Tue, 15 May 2012 14:00:00 +0100 | The Doctors Lounge - Health News
Recommendation could usher in a new era of testing (Source: The Doctors Lounge - Health News)

At-Home HIV Test to Be Considered by the FDA
Tue, 15 May 2012 13:00:00 +0100 | U.S. News - Health
Recommendation could usher in a new era of testing (Source: U.S. News - Health)

FDA Panel to Consider At-Home HIV Test
Tue, 15 May 2012 07:00:00 +0100 | MedicineNet HIV General
Title: FDA Panel to Consider At-Home HIV TestCategory: Health NewsCreated: 5/15/2012 10:05:00 AMLast Editorial Review: 5/15/2012 12:00:00 AM (Source: MedicineNet HIV General)