{"id":23407,"date":"2023-05-12T16:35:28","date_gmt":"2023-05-12T14:35:28","guid":{"rendered":"https:\/\/www.stpierre-bru.be\/service\/labogids-vub-aids-referentielaboratorium-site-umc-sint-pieter\/"},"modified":"2026-02-16T12:15:23","modified_gmt":"2026-02-16T11:15:23","slug":"labogids-vub-aids-referentielaboratorium-site-umc-sint-pieter","status":"publish","type":"service","link":"https:\/\/www.stpierre-bru.be\/nl\/service\/labogids-vub-aids-referentielaboratorium-site-umc-sint-pieter\/","title":{"rendered":"Labogids VUB AIDS Referentielaboratorium site UMC Sint-Pieter"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;4px|||||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.27.3&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>Het AIDS Referentielaboratorium (ARL) van de Vrije Universiteit Brussel (VUB) heeft twee sites, namelijk in het klinisch laboratorium van UZ Brussel te Jette en in het UMC Sint-Pieter (ARL STP) te Brussel, Hallepoort. Het is verantwoordelijk voor de diagnose van HIV infectie inclusief moeder-kind transmissie, viral load bepaling, alsook de detectie van virale resistentie tegen de huidige anti-retrovirale behandeling via genotypering van het HIV virus.<\/p>\n<p><span style=\"font-weight: 400;\">Het ARL STP is een ISO 15189 (Belac 183-MED) geaccrediteerd laboratorium en \u00e9\u00e9n van de grootste in Belgi\u00eb, met jaarlijks een opvolging van zo\u2019n 4000 pati\u00ebnten. <\/span><\/p>\n<p>In Belgi\u00eb zijn er in totaal zeven ARL\u2019s, bevoegd voor de diagnose en monitoring van HIV- ge\u00efnfecteerde pati\u00ebnten. <b>In Belgi\u00eb zijn er in totaal zeven ARL\u2019s, bevoegd voor de diagnose en monitoring van HIV- ge\u00efnfecteerde pati\u00ebnten. De activiteiten en missies van een ARL zijn uitgebreid beschreven op <a href=\"https:\/\/www.sciensano.be\/nl\/aids-referentielaboratoria-arl\">de website van de Belgische ARL\u2019s.<\/a> Die website bevat bovendien alle nodige informatie in verband met voorschriftindicaties, richtlijnen, test beschrijvingen en resultaatinterpretatie voor HIV-diagnose en monitoring.<\/b><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h3>De richtlijnen voor HIV-diagnose en monitoring in ARL STP <\/h3>\n<p>[\/et_pb_text][et_pb_accordion open_toggle_background_color=&#8221;#f2f2f2&#8243; closed_toggle_text_color=&#8221;#0cd6cf&#8221; toggle_icon=&#8221;&#x50;||divi||400&#8243; icon_color=&#8221;#0ddae5&#8243; use_icon_font_size=&#8221;on&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; toggle_text_color=&#8221;#00b9b4&#8243; toggle_font=&#8221;Arial|600|||||||&#8221; toggle_font_size=&#8221;16px&#8221; background_color=&#8221;#FFFFFF&#8221; hover_enabled=&#8221;0&#8243; border_color_all=&#8221;RGBA(255,255,255,0)&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_accordion_item title=&#8221; &#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;display: none;&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;HIV diagnose bij volwassenen en kinderen ouder dan 18 maanden: confirmatie van reactieve HIV screeningstest&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><b>Doel<\/b><\/p>\n<p><span style=\"font-weight: 400;\">HIV infectie bevestigen en typeren in bloedstalen met een reactieve eerste screeningstest in een klinisch laboratorium. <\/span><\/p>\n<p><b><br \/>Gebruikte technieken<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Opgelet: maternale antilichamen kunnen uitzonderlijk nog gedetecteerd worden tot een leeftijd van 18-24 maanden. Correcte diagnose verloopt zoals beschreven in Opvolging van pasgeborenen van HIV seropositieve moeders.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Een conclusie wordt gemaakt op basis van een algoritme waarin volgende testen opgenomen zijn:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\"><strong>VIDAS HIV DUO AG\/AB*<\/strong><\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Biom\u00e9rieux<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD Test, Enzyme Linked Fluorescent Assay (ELFA)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: <span>Detectie van HIV antigenen en HIV antilichamen<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>Geenius HIV 1\/2 Confirmatory Assay<\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Bio-Rad<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD kwalitatieve test, Immunochromatographic test<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: <span>Detecteren en typeren van HIV-1 en HIV-2 antilichamen<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul><\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>Cobas HIV-1 Test<\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Roche Diagnostics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD Test, HIV-1 kwantitatieve reverse-transcriptase PCR test (qRT-<br \/>PCR) met een range van 20 tot 10 000 000 copies \/ ml<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: Kwantitatieve bepaling van HIV-1 partikels per ml op serum of plasma<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>Xpert HIV-1 Viral Load*<\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Cepheid<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD Test, HIV-1 kwantitatieve reverse-transcriptase PCR test (qRT-<br \/>PCR) met een range van 40 tot 10 000 000 copies \/ ml<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: <span>Kwantitatieve bepaling van HIV-1 partikels per ml serum of plasma enkel bij hoogdringendheid <\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><b>Tijd tot resulaat (TAT) na ontvangst staal in het ARL <\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Gemiddeld 35 uur <\/span><\/li>\n<li><span style=\"font-weight: 400;\">Maximum 5 kalenderdagen<\/span><\/li>\n<\/ul>\n<p><b>Bloedafname<\/b><br \/><b><\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">We ontvangen serum met een reactieve screeningstest van een klinisch laboratorium.<\/span><\/li>\n<li><span style=\"font-weight: 400; color: #ffcc00;\">5 \u2013 10 ml serum-buis (normaal of SST)<br \/><\/span><span style=\"font-weight: 400; color: #ffcc00;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_jaune-300x56.png\" width=\"204\" height=\"38\" alt=\"\" class=\"wp-image-21780 alignnone size-medium\"> <\/span><\/li>\n<li><span style=\"font-weight: 400;\">Bewaar de moedertube bij kamertemperatuur of<\/span><\/li>\n<li><span style=\"font-weight: 400;\">bij 2-8\u00b0C indien transport niet binnen \u00e9\u00e9n dag kan worden geregeld.<\/span><\/li>\n<\/ul>\n<p><b>Aanvrager<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Klinisch laboratorium<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b><span style=\"font-weight: 400;\">* Deze analyse of specifieke matrix valt niet onder Belac 183-MED accreditatie<\/span><\/b><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Opvolging van pasgeborenen van HIV seropositieve moeders&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><b>Doel<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Detectie van HIV partikels in het bloed van de pasgeborene van een moeder met HIV infectie. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Overdracht van HIV van moeder naar kind (vertikale transmissie) is zeer zeldzaam bij een succesvolle behandeling van de moeder tijdens zwangerschap en bevalling.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Gebruikte technieken<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Serologische technieken kunnen niet gebruikt worden bij kinderen &lt;18 maanden aangezien die de antilichamen van de moeder detecteren. Mogelijke HIV infectie wordt opgespoord via PCR technieken.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong><span role=\"presentation\" dir=\"ltr\">Detectie<\/span><span role=\"presentation\" dir=\"ltr\"> <\/span>nucle\u00efnezuur<span role=\"presentation\" dir=\"ltr\"> <\/span><span role=\"presentation\" dir=\"ltr\">totaal<\/span><span role=\"presentation\" dir=\"ltr\"> <\/span><span role=\"presentation\" dir=\"ltr\">van<\/span><span role=\"presentation\" dir=\"ltr\"> <\/span><span role=\"presentation\" dir=\"ltr\">HIV<\/span><span role=\"presentation\" dir=\"ltr\">&#8211;<\/span><span role=\"presentation\" dir=\"ltr\">1 <\/span><span role=\"presentation\" dir=\"ltr\">(DNA<\/span><span role=\"presentation\" dir=\"ltr\"> <\/span><span role=\"presentation\" dir=\"ltr\">+<\/span><span role=\"presentation\" dir=\"ltr\"> <\/span><span role=\"presentation\" dir=\"ltr\">ARN) <b>Xpert HIV-1 Qual XC<\/b><\/span><\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: Cepheid<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span class=\"markedContent\" id=\"p22R_mc80\"><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\">Type test<\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\">:<\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span>IVD Test, Xpert HIV\u20131 Qual XC<span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\">Kwalitatieve VIH<\/span> <\/span><span role=\"presentation\" dir=\"ltr\"> <span tabindex=\"0\">&#8211;<\/span> <\/span><span role=\"presentation\" dir=\"ltr\"> <span tabindex=\"0\">1<\/span> <\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span class=\"markedContent\" id=\"p22R_mc82\"><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\">Doel:<\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span><span role=\"presentation\" dir=\"ltr\"> <span tabindex=\"0\">Detectie<\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span>nucle\u00efnezuur<span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\">totaal<\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\">van<\/span><\/span><span role=\"presentation\" dir=\"ltr\"><span tabindex=\"0\"> <\/span><\/span><span role=\"presentation\" dir=\"ltr\"> <span tabindex=\"0\">HIV<\/span> <\/span><span role=\"presentation\" dir=\"ltr\"> <span tabindex=\"0\">&#8211;<\/span> <\/span><span role=\"presentation\" dir=\"ltr\"> <span tabindex=\"0\">1<\/span> <\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>cobas HIV-1 Test<\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Roche Diagnostics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD Test, HIV-1 kwantitatieve reverse-transcriptase PCR test (qRT-<br \/>PCR) met een range van 20 tot 10 000 000 copies \/ ml<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: <span>Kwantitatieve bepaling van HIV-1 partikels per ml plasma<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>VIH-2<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Alle monsters voor HIV-2 DNA en RNA testing worden door ons doorgestuurd naar ARL UCL.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Tijd tot resulaat <\/strong><strong>(TAT) na <\/strong><strong>ontvangst <\/strong><strong>staal in het ARL<\/strong><\/p>\n<ul>\n<li><span class=\"markedContent\" id=\"p39R_mc16\">Gemiddeld 2 kalenderdagen<\/span><\/li>\n<li><span class=\"markedContent\" id=\"p39R_mc18\">Maximum 7 kalenderdagen<\/span><\/li>\n<\/ul>\n<p> <b> VIH-2<\/b><span style=\"font-weight: 400;\"> : environ 14 \u00e0 21 jours (effectu\u00e9 par LRS UCL)<\/span><\/p>\n<p><b> Bloedafname<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #993366;\">4 ml EDTA zonder gel, pediatrische tube<br \/><span style=\"font-weight: 400; color: #ffcc00;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_violet-300x56.png\" width=\"188\" height=\"35\" alt=\"\" class=\"wp-image-21782 alignnone size-medium\"><\/span><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Verstuur op kamertemperatuur (max 24u tussen bloedafname en ontvangst in het ARL).<\/span><\/li>\n<\/ul>\n<p><b>Aanvrager<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Pediater met HIV specialisatie, pediater post-nataal<\/span><\/p>\n<p><b><span style=\"font-weight: 400;\">* Deze analyse of specifieke matrix valt niet onder Belac 183-MED accreditatie<\/span><\/b><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Bepaling van virale lading bij pati\u00ebnten met HIV&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><b>Doel<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Bepalen van het aantal HIV partikels in het bloed (plasma) of cerebrospinaal vocht (CSV) bij pati\u00ebnten met een bevestigde HIV infectie om eventuele falen van therapie op te sporen.<\/span><\/p>\n<p><b>Gebruikte techniek<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>Cobas HIV-1 Test<\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Roche Diagnostics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD Test, HIV-1 kwantitatieve reverse-transcriptase PCR test (qRT-<br \/>PCR) met een range van 20 tot 10 000 000 copies \/ ml<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: Kwantitatieve bepaling van HIV-1 partikels per ml op serum of plasma<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>Xpert HIV-1 Viral Load*<\/strong>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>Cepheid<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test: IVD Test, HIV-1 kwantitatieve reverse-transcriptase PCR test (qRT-<br \/>PCR) met een range van 40 tot 10 000 000 copies \/ ml<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: <span>Kwantitatieve bepaling van HIV-1 partikels per ml serum of plasma enkel bij hoogdringendheid <\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><strong>VIH-2<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Alle monsters voor HIV-2 virale ladingbepaling worden door ons doorgestuurd naar ARL UCL.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Tijd tot resulaat (TAT) na ontvangst staal in het ARL <\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Gemiddeld 2 kalenderdagen<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Maximum 7 kalenderdagen<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Voor HIV-2: maximum 21 kalenderdagen<\/span><\/li>\n<\/ul>\n<p><b>Bloedafname<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #993366;\">2x 7 ml of 1x 10ml EDTA zonder gel<br \/><span style=\"font-weight: 400; color: #ffcc00;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_violet-300x56.png\" width=\"209\" height=\"39\" alt=\"\" class=\"wp-image-21782 alignnone size-medium\"><\/span><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Verstuur op kamertemperatuur (max 24u tussen bloedafname en ontvangst in het ARL).<\/span><\/li>\n<\/ul>\n<p><b>Afname CSV (cerebrospinaal vocht)<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimum 600\u00b5l in steriele tube voor vloeistoffen<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">max 6 dagen tussen afname en uitvoering test indien bewaard op 2-8\u00b0C<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Verstuur gekoeld of op kamertemperatuur<\/span><\/li>\n<\/ul>\n<p><b>Aanvrager<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Infectioloog, pediater-infectioloog, HIV specialist, internist, gynaecoloog<\/span><\/p>\n<p><b><span style=\"font-weight: 400;\">* Deze analyse of specifieke matrix valt niet onder Belac 183-MED accreditatie<\/span><\/b><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Bepaling van virale resistentie bij pati\u00ebnten met HIV&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<p><b>Doel<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Bepalen van het aantal HIV partikels in het bloed (plasma of vol bloed) of cerebrospinaal vocht (CSV) bij pati\u00ebnten met een bevestigde HIV infectie om eventuele falen van therapie op te sporen.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Gebruikte techniek<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Genotypische resistentiebepaling PI, NRTI, NNRTI, INI<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>in house ontwikkelde test<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test : <span>Sanger sequencing na nested RT-PCR<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Doel: <span> Detectie van mutaties in resistentiecodons in HIV genen gelinkt aan PI, NRTI, NNRTI, INI (groepen van anti-retrovirale behandeling)<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Genotypische tropismebepaling*<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Firma: <span>in house ontwikkelde test<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Type test : <span>Sanger sequencing na nested RT-PCR<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Cible : <span>Predictie van co-receptor gebruik (CXCR4 of CCR5) via de sequentie van de HIV-1 V3 loop van het gp120 gen, gelinkt aan behandeling met CCR5-receptorantagonisten<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">VIH-2<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Alle monsters voor HIV-2 genotypische resistentiebepaling worden door ons doorgestuurd naar ARL UCL.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Tijd tot resulaat (TAT) na ontvangst staal in het ARL <\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Gemiddeld 11 kalenderdagen<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Maximum 21 kalenderdagen<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Voor HIV-2: maximum 21 kalenderdagen (uitgevoerd door LRS UCL)<\/span><\/li>\n<\/ul>\n<p><b>Bloedafname <\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #993366;\">2x 7 ml of 1x 10ml EDTA zonder gel<br \/><strong><span style=\"font-weight: 400; color: #ffcc00;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_violet-300x56.png\" width=\"188\" height=\"35\" alt=\"\" class=\"wp-image-21782 alignnone size-medium\"><\/span><\/strong><br \/><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Verstuur op kamertemperatuur (max 24u tussen bloedafname en ontvangst in het ARL).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Of in bij-aanvraag op een vorige HIV-1 virale lading bloedafname: gelieve het gewenste ordernummer te noteren op de aanvraag!<\/span><\/li>\n<\/ul>\n<p><b>Afname CSV (cerebrospinaal vocht)<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimum 600\u00b5l in steriele tube voor vloeistoffen<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">max 6 dagen tussen afname en uitvoering test indien bewaard op 2-8\u00b0C<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Verstuur gekoeld of op kamertemperatuur<\/span><\/li>\n<\/ul>\n<p><b>Aanvrager<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Infectioloog, pediater-infectioloog, HIV specialist<\/span><\/p>\n<p><span style=\"font-weight: 400;\">* Deze analyse of specifieke matrix valt niet onder Belac 183-MED accreditatie<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Alle stalen dienen het ARL te bereiken v\u00f3\u00f3r 16u, maandag tot en met vrijdag. Maximum 24u tussen afname en aankomst in ARL. Houd u aan de voorschriften voor het vervoer van klinische monsters categorie B, UN 3373. Indien dit niet kan gerespecteerd te worden, gelieve dan volgende instructies te volgen:&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; open=&#8221;off&#8221;]<\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"><strong>HIV Diagnose bij volwassenen en kinderen &gt; 18 maanden<\/strong><\/span><\/li>\n<\/ol>\n<ul>\n<li>Bewaar serum maximaal 3 dagen bij 2-8\u00b0C of langer bij -20\u00b0C of -80\u00b0C.<\/li>\n<li>Gekoeld transport van de tubes<\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\"><span style=\"font-weight: 400;\"><strong><\/strong><\/span><span style=\"font-weight: 400;\"><strong>HIV Diagnose bij kinderen jonger dan 18 maanden (opvolging pasgeborenen)<\/strong><\/span><span style=\"font-weight: 400;\"><br \/><\/span><\/p>\n<ol><\/ol>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Pipetteer 1 \u00e0 2 aliquots van 250\u00b5l vol bloed (EDTA) in een steriele (micro)tube geschikt voor PCR<\/span><span style=\"font-weight: 400;\"><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<table border=\"1\" style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<strong><\/p>\n<td style=\"width: 50%;\">Vol <\/td>\n<p>bloed (EDTA) stockeren<\/strong><br \/>\n<strong><\/p>\n<td style=\"width: 50%;\">Pipetteer <\/td>\n<p>aliquots<\/strong><br \/>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\"> <span style=\"font-weight: 400;\">\u2265 800 \u00b5l<\/span> <\/td>\n<td style=\"width: 50%;\"> <span style=\"font-weight: 400;\">2x 250 \u00b5l<\/span> <\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\"> <span style=\"font-weight: 400;\">600-800 \u00b5l<\/span> <\/td>\n<td style=\"width: 50%;\"> <span style=\"font-weight: 400;\">1x 250 \u00b5l<\/span> <\/td>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\">400-<\/td>\n<td style=\"width: 50%;\">600 <\/td>\n<p>\u00b5l<br \/>\nGeen aliquots, alles voor plasma en buffy coat<br \/>\n<\/tr>\n<tr>\n<td style=\"width: 50%;\"><span style=\"font-weight: 400;\"><\/span><\/td>\n<td style=\"width: 50%;\">400 \u00b5l&lt;<\/td>\n<p>Bewaar alles, niets om te centrifugeren<br \/>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">centrifugatie op 800-1600 g gedurende 20 minuten op kamertemperatuur<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Plasma afnemen en stockeren in een steriele tube geschikt voor PCR<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Isoleer en bewaar de buffy coat (zie figuur) in een steriel (micro-)buisje geschikt voor de PCR-test<br \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/04\/Buffy_coat-127x300.png\" width=\"127\" height=\"300\" alt=\"Buffy Coat\" class=\"wp-image-22772 alignnone size-medium\"><br \/><\/span><span style=\"font-weight: 400;\"><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">bewaren op -20\u00b0C of -80\u00b0C<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\">Gekoeld transport van gekoelde buizen<br \/><strong>3. Bepaling van de HIV-virale lading en resistentie<\/strong><span style=\"font-weight: 400;\"><\/span><span style=\"font-weight: 400;\"><\/span><\/li>\n<\/ul>\n<ol><\/ol>\n<ul><\/ul>\n<ol><\/ol>\n<p><span style=\"font-weight: 400;\">Plasma isoleren en stockeren vanuit het resterende vol bloed (EDTA) max 24u tussen bloedafname en ontvangst in het ARL.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">centrifugatie op 800-1600 g gedurende 20 minuten op kamertemperatuur<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">Plasma afnemen en stockeren in een steriele tube geschikt voor PCR<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><em>! Opgelet <\/em> : geen cellen van de buffy coat mee opnemen, laat 1 cm erboven onaangeroerd in de tube<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"3\"><span style=\"font-weight: 400;\">bewaren op -20\u00b0C of -80\u00b0C (of 2-8\u00b0C indien de test binnen de 72u uitgevoerd kan worden)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Gekoeld transport van gekoelde buizen<\/span><span style=\"font-weight: 400;\"><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Indien er onvoldoende vol bloed aanwezig is voor deze handelingen, gelieve dan het ARL te contacteren &#8211; Tel 02\/435 20 61<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><br \/><\/span><b><span data-contrast=\"auto\">Stalen op te sturen naar: <\/span><\/b><span data-ccp-props=\"{}\"> <\/span><\/p>\n<p>AIDS Referentielaboratorium site STP<br \/>Tav K. Stoffels<br \/>Gebouw 554<br \/>Hoogstraat 322<br \/>1000 Brussel<\/p>\n<p><span style=\"font-weight: 400;\"> <\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Privacy en confidentialiteit&#8221; _builder_version=&#8221;4.27.3&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Als medisch laboratorium respecteren wij de wettelijke verplichting om alle medische pati\u00ebntengegevens en testresultaten strikt vertrouwelijk te behandelen. De ethische richtlijnen inzake het respect voor pati\u00ebntenrechten en een optimale pati\u00ebntenzorg worden strikt nageleefd. Daarnaast worden uw persoonsgegevens verwerkt overeenkomstig de Algemene Verordening Gegevensbescherming (AVG\/GDPR).  <\/p>\n<p>Het ARL UMC Sint-Pieter werkt, in het kader van een optimale pati\u00ebntenzorg, samen met het LHUB-ULB en de zes andere aidsreferentielaboratoria in Belgi\u00eb. In dat kader kunnen gegevens worden uitgewisseld met deze instellingen voor enerzijds de diagnose en opvolging van HIV en anderzijds klinisch en epidemiologisch onderzoek. Dit omvat identificatiegegevens en gegevens met betrekking tot de fysieke gezondheid van<br \/>pati\u00ebnten. Het ARL UMC Sint-Pieter werkt eveneens samen met Sciensano en Healthdata, binnen het toepasselijke wettelijke kader.   <\/p>\n<p>Voor meer informatie over de bescherming van uw persoonsgegevens kunt u het Reglement betreffende de verwerking van persoonsgegevens van pati\u00ebnten van het CHU Sint-Pieter raadplegen via deze link (https:\/\/www.stpierre-bru.be\/nl\/bescherming-van-de-persoonlijke-levensfeer\/ ).<\/p>\n<p>Indien u vragen heeft over de manier waarop uw gegevens worden verwerkt, of indien u uw rechten als betrokkene wenst uit te oefenen, kunt u contact opnemen met de Data Protection Officer van het ARL UMC Sint-Pieter via via <a href=\"mailto:dpo@stpierre-bru.be\">dpo@stpierre-bru.be<\/a><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||-2px|||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h3>Aanvraagformulieren<\/h3>\n<h5 class=\"gmail_default\"><strong>Alleen voor artsen! <\/strong><\/h5>\n<div class=\"gmail_default\"><em>Alleen correct ingevulde en door het stempel en de handtekening van de voorschrijvende arts gevalideerde aanvragen zijn geldig.<\/em><\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_cta title=&#8221;HIV diagnose: confirmatie reactieve screeningstest&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjIzMjE2IiwiZW5hYmxlX2h0bWwiOiJvZmYifX0=@&#8221; button_text=&#8221;Downloaden&#8221; _builder_version=&#8221;4.20.4&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; header_level=&#8221;h5&#8243; background_color=&#8221;rgba(169,52,109,0.87)&#8221; custom_button=&#8221;on&#8221; button_bg_color=&#8221;rgba(169,52,109,0.87)&#8221; button_border_radius=&#8221;4px&#8221; button_icon=&#8221;&#xe05f;||divi||400&#8243; button_icon_color=&#8221;#FFFFFF&#8221; button_alignment=&#8221;center&#8221; border_radii=&#8221;on|21px|21px|21px|21px&#8221; box_shadow_style=&#8221;preset3&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #ffcc00;\">5 \u2013 10 ml serum-buis (normaal of SST)<\/span> <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_jaune-300x56.png\" width=\"300\" height=\"56\" alt=\"\" class=\"wp-image-21780 alignnone size-medium\"><\/span><\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_cta title=&#8221;HIV diagnose bij pasgeborenen van HIV seropositieve moeders&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjYyODEzIiwiZW5hYmxlX2h0bWwiOiJvZmYifX0=@&#8221; button_text=&#8221;Downloaden&#8221; _builder_version=&#8221;4.27.3&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; header_level=&#8221;h5&#8243; background_color=&#8221;rgba(80,186,182,0.91)&#8221; custom_button=&#8221;on&#8221; button_bg_color=&#8221;rgba(80,186,182,0.91)&#8221; button_icon=&#8221;&#xe05f;||divi||400&#8243; button_icon_color=&#8221;#FFFFFF&#8221; button_alignment=&#8221;center&#8221; border_radii=&#8221;on|21px|21px|21px|21px&#8221; box_shadow_style=&#8221;preset3&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #993366;\">4 ml EDTA zonder gel, pediatrische tube<\/span> <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_violet-300x56.png\" width=\"300\" height=\"56\" alt=\"\" class=\"wp-image-21782 alignnone size-medium\"><\/span><\/p>\n<p>[\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_cta title=&#8221;Bepaling van virale lading bij pati\u00ebnten met HIV&#8221; button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9hdHRhY2htZW50Iiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjYyODE2IiwiZW5hYmxlX2h0bWwiOiJvZmYifX0=@&#8221; button_text=&#8221;Downloaden&#8221; _builder_version=&#8221;4.27.3&#8243; _dynamic_attributes=&#8221;button_url&#8221; _module_preset=&#8221;default&#8221; header_level=&#8221;h5&#8243; background_color=&#8221;rgba(174,198,67,0.78)&#8221; custom_button=&#8221;on&#8221; button_bg_color=&#8221;rgba(174,198,67,0.78)&#8221; button_border_radius=&#8221;4px&#8221; button_icon=&#8221;&#xe05f;||divi||400&#8243; button_icon_color=&#8221;#FFFFFF&#8221; button_alignment=&#8221;center&#8221; border_radii=&#8221;on|21px|21px|21px|21px&#8221; box_shadow_style=&#8221;preset3&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\"><span style=\"color: #993366;\">2x 7 ml of 1x 10ml EDTA zonder gel<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.stpierre-bru.be\/wp-content\/uploads\/2023\/03\/Prelevement_sang_violet-300x56.png\" width=\"300\" height=\"56\" alt=\"\" class=\"wp-image-21782 alignnone size-medium\"><\/span><\/span><\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_cta title=&#8221;Bepaling van virale resistentie bij pati\u00ebnten 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klachten of incidenten?<\/strong><\/h5>\n<p>02\/435 20 61<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.20.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<h5><strong>Openingstijden ARL STP:<\/strong><\/h5>\n<ul>\n<li>Open: Maandag \u2013 Vrijdag: 8u \u2013 16u30<\/li>\n<li>Gesloten: Zaterdag \u2013 Zondag en wettelijke feestdagen<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compendium d\u2019analyses &#8211; versie 7 van 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