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Hepatitis B Core Ab Total

What Are Some Of The Severe Complications Of Hepatitis B Infection

Hepatitis B Serology: Surface Antigen (HBsAg), Surface Antibody (anti-HBs), Core Antibody (anti-HBc)

Chronic Hepatitis B infection in both children and adults can lead to health complications such as acute damage to liver cells, cirrhosis, and cancer. The virus can take as long as six months to be eliminated from the system, although in many cases, especially among new-borns, the infection continues to remain.

Hepatitis B Core Ab Total Reactive

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Understanding Of Lab Tests Results

Please visit the page about Hepatitis B Testing on the site associated with The American Association for Clinical Chemistry for better understanding of tests. There you will find the most detailed and full information regarding lab tests. In “common questions” tab you will find answers on the most common questions.

In addition, you can use a special form to ask the question. It is useful, if there is no answer on your question on the web site. A laboratory scientist will answer your question. It is a part of voluntary service provided by the American Society for Clinical Laboratory Science.

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Being Tested For Hepatitis B Core Antibody

The hepatitis B core antibody test is part of a screening panel for hepatitis B, which also will include hepatitis B surface antigen and hepatitis B surface antibody . These three tests look for acute and chronic infections.

Tests may be ordered if you have symptoms of hepatitis, such as jaundice , fever, fatigue, pale stools, dark urine, nausea, vomiting, and loss of appetite. In this case, the hepatitis B core antibody IgM test may be used, as it shows an early stage of infection.

This test may be ordered if you are being screened for hepatitis B because you are donating blood or wish to become an organ donor. Hepatitis B can be transmitted by blood or through organ transplants, so donors are tested to prevent infecting recipients. Its possible to have had the infection with only mild symptoms, so many people dont realize they have had hepatitis B.

People who are part of populations at risk for hepatitis B infection will be screened. Screening is also often done for pregnant people, infants, people sharing a home with hepatitis B patients, people who may have been exposed by needlestick injuries or body fluids, and for people with HIV .

What Is Hepatitis B Surface Antibody

Jayhawk Infectious Diseases: Hepatitis B

When you are exposed to hepatitis B, your body mounts an immune reaction against it as an invader. This happens whether you are exposed due to blood or sexual contact or if you are vaccinated with the hepatitis B vaccine.

The hepatitis B virus has proteins on its surface that cause your immune system to produce antibodies. With the vaccine, the sample contains the protein only and not the virus itself.

The first response your body will make when exposed to hepatitis B is to manufacture hepatitis B IgM antibodies. These early antibodies are produced to fight against several parts of the virus including its core. These antibodies are seen in the initial response, but they eventually fade away.

Your immune system then begins to produce IgG antibodies. It continues to produce these antibodies for the rest of your life. In this way, your immune system is always ready to attack hepatitis B virus when it is exposed to it.

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Surface Antigen And Antibody

Hepatitis B surface antigen

The hepatitis B surface antigen is a protein found on the surface of HBV it is the firstserum to be detected following initial infection. Whilst it is the first antigen to appear, it is important to note, there is a window period of up to 200 days between the first exposure to HBV and the detection of HBsAg in the serum.2

HBsAgseroconversion is the development of antibodies against HBsAg it indicates the clearance of HBsAg and the resolution of infection.5 The presence of HBsAg always implies activeinfection, whilst persistence of HBsAg for more than six months indicates chronic infection.5

Antibody to Hepatitis B surface antigen

Anti-HBs is the antibody produced by the host in response to HBsAg . The presence of anti-HBs without HBsAg indicates two possible scenarios: either previous, cleared infection or vaccination against hepatitis B virus distinguishing between these two scenarios is possible with further serological testing. Anti-HBs remains in serum for life and indicates immunity to HBV.

What Is A Hepatitis B Surface Antibody Test

Hepatitis B surface antibody test is part of a panel of blood tests to diagnose HBV infection. Hepatitis B surface antibody test determines the presence and quantity of anti-HBs in the blood serum, which can indicate protection from HBV infection.

Hepatitis B disease affects theliver and commonly spreads through body fluids such as blood, semen, and vaginal secretions.

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What Is The Most Challenging Aspect Of Hepatitis B Infection

Hepatitis B can very easily escape diagnosis, as most victims do not know they are suffering can spread the disease. This is because symptoms are almost negligible during the onset of hepatitis B infection. Although the infection is treatable and largely preventable, yet early diagnosis can go a long way in the better prognosis of the condition. Further, even though there are good treatment options for hepatitis B, close to a million people with the infection do not make it.Asian countries portray a high prevalence of hepatitis B. This infection is very common among high-risk groups such as people with multiple sex partners, homosexuals, injection drug users or people staying lose to victims of Hepatitis B.

Resolution Of Acute Infection

Medical School Hepatitis B Serology

During resolution of acute infection, IgM anti-HBc is replaced by antibody of the IgG subclass , and anti-HBs develops . Anti-HBs is a protective, neutralizing antibody, and its presence indicates recovery from acute infection and immunity to reinfection. The period when all HBsAg has been neutralized by anti-HBs, and neither HBsAg nor anti-HBs is detectable, is referred to as the window period. During the window period, the only serologic marker of infection is IgM anti-HBc. During resolution, anti-HBe replaces HBeAg. In people with past HBV infection, IgG anti-HBc usually remains detectable for life, but anti-HBs might become undetectable in remote infection.3,109

Howard C. Thomas, Jennifer A. Waters, in, 1998

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Negative But Other Hepatitis Tests Are Positive

Your HBsAb test may be negative even when other hepatitis B tests are positive, showing active or chronic infection. Further testing is necessary, especially for the hepatitis B surface antigen , which shows that the virus itself is circulating in your bloodstream and that you have an active or chronic infection.

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Epidemiology Of Hbv Reactivation

When combined with chemotherapy, the HBV reactivation rate during rituximab treatment has been reported to be 20%-55% overall and 3% in hepatitis B surface antigen negative patients. HBV reactivation can be caused by chemotherapy alone. However, rituximab more easily induces HBV reactivation independently upon combined treatment with chemotherapy or steroid treatment. The frequency of HBV reactivation is also higher with combination treatments including rituximab compared to chemotherapy alone or a combination chemotherapy and steroid treatment. Risk factors for HBV reactivation in patients receiving chemotherapy include being male, lack of HBs antibody, HBs antigen positivity, presence of a precore mutant, HBV-DNA level, anthracycline/steroid use, transplantation, second/third line treatment, youth, and the presence of lymphoma. However, when rituximab is used, the risk factors for HBV reactivation are narrowed to a lack of HBs antibody, youth, and being male. All the above reports are retrospective analyses of patients who were HBs antigen positive and who therefore were subject to prophylactic nucleoside analog therapy. In the future, patient groups must be identified who tend to experience reactivation even when receiving such therapy.

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Hepatitis B Core Antibody Total Test

This test looks for the presence of Hepatitis B Core Antibodies. Hep B is a viral liver infection that is spread through exposure to infected blood or bodily fluids. It is the most common cause of acute viral Hepatitis. Core antibodies are produced by the body’s immune system in response to the inner core of the hepatitis B virus. There are 2 types of core antibodies. IgM antibodies develop shortly after infection and fade away after a short period of time. As IgM antibody levels go down, IgG antibodies begin to develop and usually persist indefinitely. The core antibody test looks for both IgM and IgG antibodies but does not differentiate between them. Results of this test are qualitative and provide a positive or negative result.

The presence of core HBc antibodies typically indicates that a person either had Hepatitis B in the past or has a current infection. The results of this test cannot distinguish between an active or past infection. A core antibody test is most useful when taken along with other tests such as a Hep B Surface Antigen and Hepatitis B Surface Antibody. A positive core antibody along with a positive surface antigen typically indicates a recent or current infection. A positive core antibody along with a positive surface antibody typically indicates that a person has had Hep B in the past, recovered, and now has immunity from future infection. Request A Test offers a Hepatitis B Panel which includes all 3 tests at a discounted price.


Hepatitis B Core Antibody Blood Test Igm


A Hepatitis B Core Antibody Blood Test, IgM, measures HBcAb which is an antibody produced in response to the core-antigen, a component of the Hepatitis B virus.

Also Known As: Anti-HBc, IgM, Antibody to Hepatitis B Core Antigen, IgM, HBcAb, IgM.

Methodology: Immunochemiluminometric assay

Preparation: No fasting required. Stop biotin consumption at least 72 hours prior to the collection.

Test Results: 1-2 days. May take longer based on weather, holiday or lab delays.

Also Known As: Anti-HBc, IgM, Antibody to Hepatitis B Core Antigen, IgM, HBcAb, IgM.

Methodology: Immunoassay

Preparation: No fasting required. Stop biotin consumption at least 72 hours prior to the collection.

Test Results: 1-2 days. May take longer based on weather, holiday or lab delays.

  • What Is the Normal Range for Hepatitis B Surface Antibody? Center
  • Hepatitis B surface antibodies are measured in blood samples in milli-International Units/milliliter mIU/mL). The ranges for hepatitis B surface antibodies are:

    • Anti-HBs greater than 10-12 mIU/mL: Protected against hepatitis B virus infection, either from vaccination or successful recovery from a previous HBV infection.
    • Anti-HBs less than 5 mIU/mL: Negative for HBV infection, but susceptible and hence requires vaccination.
    • Anti-HBs from 5-12 mIU/mL: Inconclusive results and the test should be repeated.

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    What Do Hepatitis B Test Results Mean

    Hepatitis B test results help determine if HBV infection is negative or positive, and if positive, whether the infection is acute or chronic, or if recovery is complete. A combination of results are considered to identify and classify HBV infection status.

    The following are some interpretations of hepatitis B test results:

    Table: Hepatitis B test results and interpretations


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    Hepatitis B Core Antibody

    Hepatitis B Core Antibody, Total

    The Qualitative detection of Hepatitis B virus Core IgG and IgM antibodies in human sera using the FDA approved Abbott ARCHITECT CORE test two-step chemiluminescent immunoassay.

    In the first step, sample, assay diluent, and Hepatitis Core Antigen coated paramagnetic microparticles are combined. Anti-HBc antibodies present in the sample binds to the HBcAg coated microparticles. In the second step, anti-human IgG and IgM acridinium-labeled conjugate is added, which binds to IgG and IgM anti-HBc. Then pre-trigger and trigger solutions are added to the reaction mixture. The resulting chemiluminescent reaction is measured as relative light units .

    The presence or absence of anti-HBc antibodies in the sample is determined by comparing the chemiluminescent signal in the reaction to the cutoff signal determined from an active ARCHITECT CORE calibration. Specimens with signal to cutoff values 1.00 are considered reactive for HBcAb. Specimens with S/CO values < 1.00 are considered nonreactive.

    For Batteries containing HBCA see:

    Hepatitis B Antibodies , Quantitative detection of Hepatitis B virus Surface IgG antibody and Hepatitis B virus Core IgG and IgM antibodies

    Hepatitis B Battery , Quantitative detection of Hepatitis B virus Surface IgG antibody , Qualitative detection of Hepatitis B virus Surface Antigen and Qualitative detection of Hepatitis B virus Core IgG and IgM antibodies


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    Envelope Antigen And Antibody

    Hepatitis B envelope antigen

    The hepatitis B envelope antigen is found between the core and lipid envelope within HBV and is present in bothacute and chronic infection. The presence of HBeAg in serum indicates active viral replication and a higher risk of transmissibility.1 HBeAg can be therefore used to distinguish between active chronic infection and inactive chronic infection.

    Hepatitis B envelope antibody

    HBeAgseroconversion is the development of antibodies against HBeAg it marks a transition from active disease to an inactive carrier state.5 Anti-HBe remains in serum for life and indicates acquired, natural immunity .

    Hepatitis B Core Antibody Total Blood Test

    hepatitis B Serology explained

    A Hepatitis B Core Antibody Total Blood Test is used to find out if you are infected with the hepatitis B virus.

    Also Known As: Anti-HBc Antibody to Hepatitis B Core Antigen HBcAb Total

    Methodology: Immunochemiluminometric assay

    Preparation: No fasting required. Stop biotin consumption at least 72 hours prior to the collection.

    Test Results: 2-3 days. May take longer based on weather, holiday or lab delays.

    Also Known As: Anti-HBc Antibody to Hepatitis B Core Antigen HBcAb Total

    Methodology: Immunoassay

    Preparation: No fasting required. Stop biotin consumption at least 72 hours prior to the collection.

    Test Results: 2-3 days. May take longer based on weather, holiday or lab delays.

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    What Are Some Of The Proven Ways To Prevent Hepatitis B

    Healthcare providers stand by vaccination as a reliable prevention measure known to be effective to all age groups- adults, infants, and children. Therefore, close family members and sexual partners of infected persons must get tested and avail HBV vaccination to protect themselves. Medications have also been in use to prevent chronic HBV infection. Additionally, the power of vaccination of sexual partners and close family people cannot be overemphasized in aiding protection against the disease. Apart from vaccination, a few pointers to prevent hepatitis B Infection: Always make sure needles used for acupuncture, body piercing, tattoos, and ear piercing are sterile. Sanitary napkins and tampons need to be disposed of in a hygienic manner. Adopt effective hygiene upon exposure to contaminated blood like washing your hands well using soap. Avoid exposure of wounds to contamination. Avoid direct contact with blood and bodily fluids.

    What Is The Purpose Of A Hepatitis B Test

    Hepatitis B test is performed to detect, classify, and treat hepatitis B virus infection.

    Hepatitis B blood tests involve the measurement of several HBV-specific antigens and antibodies. In addition, HBV blood tests also include liver enzymes and liver function tests to assess and monitor the condition of the liver and provide appropriate treatment.

    The HBV specific tests include the following:

    • HBsAg: HBsAg is an antigen found on the surface of hepatitis B virus. HBsAg may be detected in the blood any time after 1 week post-exposure to HB virus, but usually appears after 4 weeks.
    • Anti-HBs: Anti-HBs are antibodies produced by the bodys immune system to fight HBsAg. Anti-HBs from a prior infection or vaccination provides immunity against further infection.
    • Hepatitis B core antigen : HBcAg is an antigen found in the core layer which covers the hepatitis B viral DNA.
    • Hepatitis B core antibody : Anti-HBc is the antibody that fights HBcAg. Anti-HBc is the first detectable antibody after HBV infection. There are two kinds of Anti-HBc:
    • Immunoglobulin M hepatitis B core antibody : IgM anti-HBc indicates acute or reactivated recent infection within the previous 6 months.
    • Immunoglobulin G hepatitis B core antibody : IgG anti-HBc may indicate previous or chronic infection. Once present, IgG anti-HBc persists for a lifetime.
  • HBV DNA: HBV DNA is the genetic material of the HB virus and this test is a measure of the actual viral load and replication.
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    Hbv Dna Hbv Genotype And Hbv Drug Resistance Assays

    Specimen: Serum or plasma

    Container: Red-top tube, yellow-top tube , gel-barrier tube, plasma preparation tube, or lavender tube

    Collection method: Routine venipuncture

    The specimen should be transfused to separate plasma/serum from cells within 6 hours and kept frozen when testing cannot be done promptly.

    The tests use PCR amplification, DNA probe hybridization, and sequencing method.

    An Interesting Case Of Isolated False

    Investigation of hepatitis B virus (HBV) immunity. Anti ...

    He S. Yang

    1Department of Pathology and Laboratory Medicine, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA

    2Department of Gastroenterology and Hepatology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA


    1. Introduction

    Here, we report a case of a female patient with persistent isolated HBsAg positivity with a lack of symptoms, other serological markers, risk factors, or vaccination to explain the positivity, highly suggestive of a false-positive result requiring thorough investigation to evaluate potential interferences.

    2. Case Report

    Upon further review of the patients history, no recognized, self-reported risk factors for viral hepatitis including unprotected sex, blood transfusions, tattoos, or intravenous drug abuse were reported. Furthermore, the patient denied personal or family history of liver disease or jaundice. Physical examination did not reveal stigmata of liver disease. Considering the patients low risk for blood-borne infections, it was suspected that the HBsAg and HIV screening results might be false positives due to an unknown interference with the analytical assays.

    The patient was retested 3 months after her Mohs surgery. The HBsAg and HIV screening tests remained positive. This study has been approved by the institutional review board of Weill Cornell Medicine.

    3. Discussion

    Conflicts of Interest

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