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Updated: Jul 19, 2026

Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors
Published on: April 9, 2014
Approaching "HIV elimination": interventions for acute HIV infection
Christopher D Pilcher1, Lisa Eaton, Seth Kalichman
1University of California San Francisco Health Program,San Francisco General Hospital, Ward 84, 995 Potrero Avenue, San Francisco, CA 94110, USA. cpilcher@php.ucsf.edu
Detecting acute HIV infections (AHI) in antibody-negative individuals is crucial. Early identification of AHI enhances HIV prevention by targeting high-transmission risk periods and improving public health strategies.
Area of Science:
- Infectious Diseases
- Virology
- Public Health
Background:
- Recent observations indicate a significant number of individuals with acute HIV infections (AHI) present for routine HIV testing.
- AHI is characterized by a brief but substantially elevated risk of HIV transmission.
Purpose of the Study:
- To review new data on AHI detection and its implications for HIV prevention strategies.
- To highlight the importance of identifying recently infected individuals for effective public health interventions.
Main Methods:
- Review of recent observational data and evidence regarding acute HIV infections.
- Analysis of group testing strategies using nucleic acid amplification tests (NAATs) for HIV RNA detection in antibody-negative sera.
Main Results:
- Individuals with AHI are presenting for routine HIV testing in higher than anticipated numbers.
- Nucleic acid amplification tests are being utilized for group testing of antibody-negative sera to detect HIV RNA.
- Acute HIV infection represents a critical window of heightened transmission risk.
Conclusions:
- Early detection of AHI is vital for effective HIV prevention efforts.
- Identifying individuals in the AHI stage allows for targeted interventions during their peak transmission period.
- Traditional public health strategies, such as network notification, can be more effective when AHI is identified promptly.
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