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HIV Integrase Resistance Genotyping (Genotypic Resistance Testing for HIV Integrase Mutations)

Published: August 9, 2026Updated: August 16, 2026

This test checks for specific mutations in the HIV integrase gene, which can indicate resistance to certain antiretroviral medications. It helps doctors tailor treatment plans to ensure the best response to therapy.

Quick summary

["Identifying drug-resistant HIV mutations to guide personalized treatment options."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
100986-9
Short code
HIV integrase failed codons Islt Genotyp
Synonyms
HIV integrase failed codons Islt Genotyp
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
genotyping
CPT
86701
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters for Your Treatment Plan

If your HIV treatment isn’t working as expected or if you’ve been on multiple medications, this test can help determine whether certain HIV strains have developed resistance to specific drugs. Resistance mutations may appear after prolonged or incorrect use of integrase strand transfer inhibitors (INSTIs), a common class of HIV medications.

How the Test Works

A small blood sample is collected to analyze the genetic sequence of the HIV integrase gene. Advanced laboratory techniques identify any mutations that may reduce the effectiveness of certain antiretroviral drugs. This process helps doctors adjust your treatment to improve viral suppression.

When You Might Need This Test

You may need this test if you’re experiencing treatment failure (viral load remains high despite therapy), if you’ve switched medications frequently, or if you’ve been diagnosed with drug-resistant HIV. It’s also used in pre-treatment counseling for patients considering specific INSTI-based regimens.

What to Expect Before the Test

No special preparation is needed. A healthcare provider will draw blood, typically from your arm, and send it to a lab for analysis. The results may take several days to weeks, depending on lab processing times.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

HIV Integrase Resistance Genotype

Frequently asked questions

How can I know if my HIV treatment is working?
If your viral load remains high despite taking antiretroviral therapy, this test can help determine whether resistance mutations are contributing to treatment failure. Early detection allows doctors to switch medications more effectively and avoid worsening drug resistance.
Will this test affect my current medications?
Not directly. This test provides genetic information to guide treatment decisions, but it doesn’t change your current medications unless your doctor determines resistance is present and requires a medication adjustment.
How often should I get this test?
Your doctor will determine the frequency based on your treatment history, viral load results, and whether you’re experiencing treatment challenges. Some patients may need it annually or more often if they’ve been on multiple drug regimens.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy