.jpg "Prof. dr Đorđe Jevtović - Specijalista infektologije")
Specijalista infektologije
Prof. dr Đorđe Jevtović, rođen 1953. godine u Beogradu, lekar-infektolog. Profesor je Medicinskog fakulteta i načelnik centra za HIV na Klinici za infektologiju i tropske bolesti u Beogradu. Dr Jevtović je objavio 208 publikacija kojima su obuhvaćene različite oblasti infektologije.
Prof. dr Đorđe Jevtović je u penziji.
Prof. dr Đorđe Jevtović, rođen 1953. godine u Beogradu, lekar-infektolog. Profesor je Medicinskog fakulteta i načelnik centra za HIV na Klinici za infektologiju i tropske bolesti u Beogradu. Dr Jevtović je objavio 208 publikacija kojima su obuhvaćene različite oblasti infektologije.
Prof. dr Đorđe Jevtović je u penziji.
Osnovne studije.
Profesor.
Načelnik centra za HIV.
Postovani, imam jedno pitanje. Posle odnosa sa bivsim momkom sam dobila herpes. Vise mi se nikada nije ponovo aktivirao, pa me zanima da li mogu da prenesem to nekoj drugoj osobi prilikom odbosa? Veoma sam skepticna po tom pitanju i imam strah da necu nikada vise moci imati intimne odnose sa nekim.
skoro svi seksualno aktivni su infecirani s HSV1-2 i mogu d ga prenose
Pozdrav doktore,da li testiranje na hiv 4 meseca nakon izlaganja i onda za jos mesec dana (nakon 5 meseci) je validno a test je bio oba puta negativan. U pitanju je bio jedan vaginalni odnos u kojem sam pokupio hlamidiju i izlecio je (12 dana inkubacija je bila) Testiranje je radjeno u institutu za javno zdravlje a u pitanje je ag/ab test clia metodom. Hvala na odgovoru i pozdrav
dovoljno je
dobar dan dali postoji mogucnost ako se ubodem na iglu na ulici kroz patiku da dobijemo hiv ili hepatitis ako je bila od nekog narkomana
moguće je, ali malo verovatno
Postovanje doktore,ne znam koja je tacna vise ova informacija,neki doktori kažu 6nedeja za HIV ,neki 3* meseca ,neki 6 meseca...da covek mne poveruje,bas citam načelnik klinike za aids dr Jovan ranin i dalje navodi da ja maksimalni period za HIV 6 meseci,dodatno Jos ako je elisa negativna a postoji cvrsti razlog za infekciju radi se PCR!To Pise i to je on izjavio!Covek ne zna kome da veruje i koliko je sve to tačno ,ako jedan Kaze ovako jedan onako ljudi nece verovati!https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://eklinika.telegraf.rs/zdravlje/122749-hiv-moze-godinama-da-tinja-bez-simptoma-koliko-osoba-ima-hiv-a-da-to-i-ne-zna&ved=2ahUKEwiyta7yjbOKAxVs_7sIHe2EAfYQFnoECBUQAQ&usg=AOvVaw3Pit8zT_bwp0WEIyLDwamk(evo linka)
šta ko kaže je malo važno, tačno je ono što u udžbenicima piše, a virusloška dijagnostika podrazumeva serološku i molekularnu, koja prema vodiču dobre prakse izgleda ovako:
HIV antibody testing with or without HIV P24 antigen tests
Nucleic acid amplification assays to determine HIV RNA level (viral load)
HIV infection is suspected in patients with persistent, unexplained, generalized adenopathy or any of the AIDS-defining illnesses (see sidebar AIDS-Defining Illnesses). It may also be suspected in high-risk patients with symptoms that could represent acute primary HIV infection.
Detection of antibodies to HIV is sensitive and specific except during the first few weeks after infection (termed the "window period" of acute HIV infection). However, the HIV p24 antigen (a core protein of the virus) is already present in the blood during most of this time and can be detected by assays.
Currently, a fourth-generation antigen/antibody combination immunoassay is recommended; it detects antibodies to both HIV-1 and HIV-2 as well as the p24 HIV antigen. The laboratory version is probably preferred over the point-of-care test for diagnosing early infection, but both can be done quickly (within 30 minutes). If the test result is positive, an assay to differentiate HIV-1 and HIV-2 and an HIV RNA assay are done.
Earlier-generation enzyme-linked immunosorbent assay (ELISA) antibody assays are highly sensitive, but because they do not test for antigen, they are not positive as early as the fourth-generation combination test. Also, results are rarely false-positive. Positive ELISA results are therefore confirmed with a more specific test such as Western blot. However, these tests have drawbacks:
ELISA requires complex equipment.
Western blot requires well-trained technicians, is expensive, and takes several days or weeks for results to be available.
The full testing sequence takes at least a day.
Most settings use an HIV-1/HIV-2 differentiation assay as their preferred confirmatory test, replacing the cumbersome Western blot. Additionally, HIV-1 Western blot assays do not reliably detect subtype O virus prevalent in some African regions; if HIV-2 is being considered, a special HIV-2 Western blot needs to be requested (1). Point-of-care tests using blood or saliva (eg, particle agglutination, immunoconcentration, immunochromatography) can be done quickly (in 15 minutes) and simply, allowing testing in a variety of settings and immediate reporting to patients. Positive results of these rapid tests should be confirmed by standard blood tests (eg, ELISA with or without Western blot) in high-resource countries and repetition with one or more other rapid tests in high HIV burden countries. Negative tests need not be confirmed.
If HIV infection is suspected despite negative antibody test results (eg, during the first few weeks after infection), the plasma HIV RNA level should be measured. The nucleic acid amplification assays used are highly sensitive and specific. HIV RNA assays require advanced technology, such as reverse transcription–polymerase chain reaction (RT-PCR), which is sensitive to extremely low HIV RNA levels. Measuring p24 HIV antigen by ELISA is less sensitive and less specific than directly detecting HIV RNA in blood.
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