Preventing and testing

Quickly detecting and treating HIV is better for your health in the short and long term.

At the HIV treatment centre Amsterdam you can quickly get an anonymous rapid HIV test. The centre has its own testing lab where STD testing can also be done. In addition to testing, we also give advice about preventing HIV by using PrEP. Men who have sex with men can do the symptom check at hebikhiv.nl to investigate their risk of HIV.

Quick navigation | HIV quick test | STD testing | PrEP |

The rapid HIV test

What and why

The rapid HIV test is a validated test that indicates whether there are antibodies against HIV in the blood. A positive test means that the virus is found in the blood. If the test is negative, there is no virus present. You can do the rapid HIV test if you have run the risk of infection 4 to 11 weeks ago or longer. If the test is negative, there is no virus present. A moment of risk can be a sexual risk (unprotected sex) or a prick incident.

At the HIV treatment center in Amsterdam

The HIV treatment centre Amsterdam uses the HIV 1/ 2 and the HIV combo test depending on the type of risk that occurred. For men who have sex with men there is the ‘symptom check’. With the form from this check, you can go to the HIV treatment centre for an HIV test were they can check for the presence of HIV 2 weeks after the possible exposure. This must always be repeated for a conclusive result. The test is done anonymously. When making an appointment you only need a first name and telephone number. Upon request, you will receive the results on paper.

Before the test
Prior to the test, the nurse will ask some questions to determine the type of risk. He or she will also answer any questions.

For the test
The test consists of pricking your finger. The blood is collected in a capillary tube an tested. It will take approximately 20 minutes to get the results.

After the test
After the blood draw, you can take a seat in the waiting room to wait for the result.

The results
A negative test means that you have not come into contact with HIV. There need be no additional testing. If the result is positive, there is always a second blood draw to rule out mistakes. The second blood draw takes place (anonymously) in the lab. It takes a week for the results to come back.

Duration of the test
The entire test, with initial and follow up consultation takes about a half hour all together.

Costs

The cost of the rapid HIV test is 25 euros.

More information

www.hebikHIV.nl

STD testing

What and why

A sexual transmitted disease or STD is a bacteria or virus transferred through sex. People who have unprotected sex and/or changing partners run the risk of an STD. STDs are not always associated with symptoms or complaints. This means that a person can have an STD without even knowing it. The most frequently occurring bacterial STDs are chlamydia and gonorrhoea. These can be detected with a cotton bud in the throat, the urine, the anus and the vagina. Syphilis and STDs that are transferred via virus such as HIV and hepatitis are detected by blood tests.

At the HIV treatment center in Amsterdam

The HIV treatment centre offers integrated HIV/STD care for its own patients. Even people who are not our patients can come in for an (anonymous) STD test. There is no waiting period. An appointment is required to have enough time to guarantee quality. We take the time for each client and determine with them which tests are necessary depending on the request and any symptoms. Indeed, the STD care takes place in accordance with the applicable standards.

Tests for STDs can be done anonymously. You will be registered under the information you provide, but this is not checked using the social security number. The treating professional has no direct contact with your general practitioner or any other specialist. All of the contact is through you. But a file is necessary for good medical care.

Before the test
In the consultation, we will determine which tests are done, depending on the risk that you have undergone, how and with whom you have had unprotected contact, with a man, woman or both. If necessary, a physical examination will be performed.

For the test
The examination may consist of an HIV test and/or a test for chlamydia, gonorrhoea, syphilis, hepatitis A, B and C.

After the test
After testing, we will discuss how the results will be communicated. We will agree whether that will take place by telephone or e-mail and if a follow-up appointment is needed. If needed or indicated, we will plan a follow-up appointment.

The results
The communication of the results will take place in the manner we discuss after the examination.

Treatment
For a positive result, the nurse or doctor will write a prescription and the necessary treatment is provided. For certain persons, a vaccination for hepatitis A/B may be recommended. This will be explained in the consultation. We can offer the vaccinations on site.

Costs

STD care at DC Klinieken falls under uninsured care. This means that the consultation and the examinations must be paid by you. The price depends on the testing done. In the first consultation you will pay the agreed upon amount via card or cash and we will give you a receipt. If you wish to remain anonymous, the prescription can be paid in cash at your pharmacy.

The costs depend on the determinations made.

  • The minimum amount is EUR 25.00 (only the HIV quick test).
  • Chlamydia and gonorrhoea cost EUR 30.00 per body part (throat, urine, anus).
  • Blood tests vary from 4 to 12 euros.
  • EUR 25.00 will be charged for administration and counselling.
  • For an extensive consultation, the amount may run up to a maximum of approximately EUR 150.00.
  • Treatment is 10.00 euros.

More information

SOA/AIDS Nederland

PrEP

What and why

The number of HIV infections is only slowly diminishing in the Netherlands. Despite various efforts, there are still more than 800 new HIV infections every year. PrEP contributes to the reduction of the transfer of HIV and helps to bring down the number of infections.

PrEP is the abbreviation for Pre Exposure Prophylaxis. It is a means of prevention; a tablet to prevent you acquiring an HIV infection. It consists of two active ingredients, emtricitabine and tenofir desoproxil, agents that are also used as HIV inhibitors. The safety and efficacy of PrEP have been proven and the efficacy and good treatment adherence have been proven in various studies.

Good (medical) support is necessary to guarantee safe use, to prevent resistance being built up and to promote adherence to therapy. Persons using PrEP come in before starting PrEP, one month after starting and then every three months for a follow-up. Counselling takes place with regard to adherence to treatment and risk reduction. Lab checks are also performed according to the national multidisciplinary guideline.

Every doctor can prescribe PrEP. PrEP is only available by prescription in the Dutch pharmacies. The minister of Health and Welfare decided in June 2018 that PrEP will be provided to people who run a high risk of HIV. The actual provision should start in 2019, however there is much uncertainty about this.

At the HIV treatment center in Amsterdam

The HIV treatment centre finds that PrEP use must be well-registered and assured and needs careful medical support. This is, however, a new prevention strategy that may have effects on the HIV epidemic. An additional advantage of PrEP is that, from our own experience, we have noted that PrEP use reduces the fear of HIV and positively influences the experience of sexuality.

Nonetheless, it appears that the execution of the ministerial decree will require a wait for now. In practice this means that only a number of municipal health services provide PrEP care and a few general practitioners are promoting it. Therefore, the HIV treatment centre has decided to offer PrEP care.

With a referral from the general practitioner, anyone who qualifies can make an appointment with us. During the first visit, we will provide a detailed explanation about taking PrEP and the effects as well as about side effects. We will do the necessary tests before you start PrEP and provide support after starting. The prescription for PrEP can be picked up at any pharmacy. Where possible, the care will be transferred back to the general practitioner after a few months.

Costs

Your excess applies with a referral from the general practitioner. In addition, the PrEP medication itself is not currently reimbursed by health insurance providers. The average price is about 40 euros per month for daily use.

More information

PrEPnu