Concensus is 4 weeks: Both biological principles of the test and expert opinion favor 28 days. Few if any HIV experts report ever having a patient with new HIV who didn't have a positive 4th generation test by 4 weeks. The main exception may be when post exposure prophylaxis with anti-HIV drugs is given but doesn't work. Even then, it's probably rare. Many official agencies take conservative stances and always have.
Answered 11/21/2020
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