Paper II
2025 August (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Window period in HIV

Q92 marksShort Notes

Answer

The window period in HIV infection is the interval between actual infection and the time a given diagnostic test becomes capable of reliably detecting it — during this period, the individual is infected and potentially infectious, but standard testing may give a false-negative result.

Basis: viral markers appear in sequence — HIV RNA (earliest, ~7–10 days), then p24 antigen (~2–3 weeks), then HIV antibody (~3–12 weeks).

Significance: critically important for blood/organ donor screening; individuals tested soon after a suspected exposure should repeat testing after an appropriate interval.

Narrowing the window: 4th-generation combination antigen/antibody assays have shortened the window period to approximately 2–3 weeks, compared to ~3 months for older antibody-only assays.

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