Window periods

Published: 30 June 2012

Different authorities give slightly different estimates for the duration of the window period between exposure and the ability of tests to detect infection:

  • nine days1 
  • nine to 14 days2
  • twelve days3 

HIV RNA is the first marker of infection that appears after infection (approximately five days before p24 antigen), and so these tests may be able to detect primary infection before a fourth-generation test. However, their sensitivity at this point has not been extensively studied.

References

  1. Branson BM State of the art for diagnosis of HIV infection. Clin Infect Dis 45:S221-225, 2007
  2. Coombs RW Clinical laboratory diagnosis of HIV-1 and use of viral RNA to monitor infection. In Holmes KK (editor), Sexually Transmitted Diseases. New York: McGraw-Hill, 2008
  3. Maldarelli F Diagnosis of Human Immunodeficiency Virus infection. In Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases (sixth edition). Philadelphia: Elsevier Churchill Livingstone, 2004
This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.
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This content was checked for accuracy at the time it was written. It may have been superseded by more recent developments. NAM recommends checking whether this is the most current information when making decisions that may affect your health.

NAM’s information is intended to support, rather than replace, consultation with a healthcare professional. Talk to your doctor or another member of your healthcare team for advice tailored to your situation.