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When someone gets HIV, the body's immune system makes antibodies to try to fight the infection. Most HIV tests available today test for HIV antibodies. If HIV antibodies are present, it means that a person is infected with HIV. One type of HIV test detects the virus itself. This is called an RNA test. RNA testing is more expensive and much less common than antibody tests.
The standard HIV test, whether a rapid test or one sent to the laboratory, will detect the presence of antibodies to the HIV virus. When the body becomes infected, it will attempt to fight the infection by developing antibodies. Therefore, if a test finds antibodies, it has in essence indicated that the HIV virus is also present.