HEPATITIS C ANTIBODIES, TOTAL (SEMI QUANTITATIVE)

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HCV ANTIBODY.

Abbreviations

ANTI-HCV TOTAL.

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS.

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

NEGATIVE.

Clinical Utility

SCREENING FOR HEPATITIS C VIRUS (HCV) INFECTION. A PERSISTENTLY POSITIVE RESULT SHOULD BE FOLLOWED UP BY HCV PCR TESTING.

Test Limitations/ Confounders

ANTI-HCV USUALLY REMAINS POSITIVE FOR LIFE THEREFORE POSITIVITY DOES NOT DISTINGUISH BETWEEN RECENT VS. CHRONIC VS. RESOLVED INFECTION. FOR THIS DISTINCTION, HCV RNA/ NUCLEIC ACID TESTING IS REQUIRED AS A FOLLOW UP TEST. FALSE POSITIVE ANTI-HCV RESULTS CAN ALSO OCCUR.

HEPATITIS C ANTIBODIES (SPOT/ RDT)

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HCV AB, QUALITATIVE; HCV AB, RAPID

Abbreviations

ANTI-HCV.

Type

INDIVIDUAL TEST.

2-4 HRS

2-4 HOURS.

Method

IMMUNOCHROMATOGRAPHY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

ALL WORKING DAYS.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

NEGATIVE.

Clinical Utility

SCREEN FOR ACUTE OR CHRONIC HEPATITIS C VIRUS (HCV) INFECTION. EVALUATION OF PATIENTS WITH LIVER CIRRHOSIS & HEPATOCELLULAR CARCINOMA WHICH CAN OCCUR AS COMPLICATIONS OF CHRONIC HCV INFECTION.

Test Limitations/ Confounders

ANTI-HCV USUALLY REMAINS POSITIVE FOR LIFE THEREFORE POSITIVITY DOES NOT DISTINGUISH BETWEEN RECENT VS. CHRONIC VS. RESOLVED INFECTION. FOR THIS DISTINCTION, HCV RNA/ NUCLEIC ACID TESTING IS REQUIRED AS A FOLLOW UP TEST. FALSE POSITIVE ANTI-HCV RESULTS CAN ALSO OCCUR.

HEPATITIS B SURFACE ANTIGEN, SEMI-QUANTITATIVE

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

QUANTITATIVE TEST FOR HEPATITIS B, HBsAg “ELISA”.

Abbreviations

HBsAg;

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT.

Clinical Utility

DETECT HEPATITIS B VIRUS ACUTE OR CHRONIC INFECTION. CHRONIC HBV IS DEFINED BY PERSISTENT HBsAg SEROPOSITIVITY FOR ≥6 MONTHS. EVALUATION OF LIVER CIRRHOSIS & HEPATOCELLULAR CARCINOMA.

Test Limitations/ Confounders

FALSE POSITIVES MAY OCCUR IN CASES OF RECENT HBV VACCINATION THEREFORE TESTING SHOULD BE DONE BEFORE VACCINATION.

HEPATITIS B SURFACE ANTIGEN, QUALITATIVE

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HBV SURFACE ANTIGEN, RDT; HBV SURFACE ANTIGEN, RAPID TEST.

Abbreviations

HBsAg.

Type

INDIVIDUAL TEST.

2-4 HRS

2-4 HOURS

Method

IMMUNOCHROMATOGRAPHY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

ALL WORKING DAYS.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

NEGATIVE.

Clinical Utility

HBsAg IS THE FIRST SEROLOGIC MARKER THAT CAN BE DETECTED AFTER INFECTION WITH HEPATITIS B VIRUS (HBV). IT IS USED TO DIAGNOSE ACUTE OR CHRONIC HBV INFECTION. CHRONIC HBV INFECTION IS DEFINED BY PERSISTENT HBsAg SEROPOSITIVITY FOR ≥6 MONTHS & CAN PROGRESS TO LIVER CIRRHOSIS & HEPATOCELLULAR CARCINOMA.

Test Limitations/ Confounders

FALSE POSITIVES MAY OCCUR IN CASES OF RECENT HBV VACCINATION THEREFORE TESTING SHOULD BE DONE BEFORE VACCINATION.

HEPATITIS B SURFACE ANTIBODY

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HBs ANTIBODY

Abbreviations

ANTI-HBs; HBsAb.

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS.

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

NON REACTIVE / NEGATIVE.

Clinical Utility

INDICATES IMMUNITY TO HEPATITIS B VIRUS (HBV) INFECTION FROM VACCINATION OR PAST INFECTION.

Test Limitations/ Confounders

N/A

HEPATITIS B ENVELOPE ANTIGEN

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HBV ENVELOPE ANTIGEN.

Abbreviations

HBeAg.

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS.

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

NON REACTIVE.

Clinical Utility

AN INDICATOR OF ACTIVE HBV INFECTION/ HIGHER HBV INFECTIVITY. IF PERSISTENTLY POSITIVE FOR MORE THAN 6 MONTHS, THIS IS CONSISTENT WITH CHRONIC HBV INFECTION.

Test Limitations/ Confounders

N/A

HEPATITIS B ENVELOPE ANTIBODY

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HBe ANTIBODY; HBV ENVELOPE ANTIBODY.

Abbreviations

ANTI-HBe; HBeAb.

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS.

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

NON REACTIVE.

Clinical Utility

ASSESSMENT OF HEPATITIS B VIRUS (HBV) INFECTION. IMPLIES LOWER INFECTIVITY.

Test Limitations/ Confounders

N/A

HEPATITIS B CORE ANTIBODY, TOTAL

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

N/A

Abbreviations

ANTI-HBc, TOTAL; IgG ANTI-HBc; HBcAb, IgG.

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS.

Method

IMMUNOASSAY.

Temp

AMBIENT (1 HOURS), REFRIGERATED (7 DAYS), FROZEN (30 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT.

Clinical Utility

MARKER OF PAST HEPATITIS B VIRUS (HBV) INFECTION.

Test Limitations/ Confounders

N/A

HEPATITIS B CORE ANTIBODY, IgM

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

N/A

Abbreviations

ANTI-HBc, IgM; IgM ANTI-HBc; HBcAb, IgM.

Type

INDIVIDUAL TEST.

5 DAYS

5 WORKING DAYS.

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT.

Clinical Utility

A POSITIVE RESULT IS CONSISTENT WITH ACUTE/ RECENT HEPATITIS B VIRUS (HBV) INFECTION. IgM IS THE FIRST ANTIBODY PRODUCED BY THE IMMUNE SYSTEM IN RESPONSE TO INFECTION.

Test Limitations/ Confounders

N/A

HEPATITIS A ANTIBODY, IgM

Category

SEROLOGY/ IMMUNOLOGY

Sub Category

INFECTIOUS.

Synonyms/Aliases

HEPATITIS A VIRUS.

Abbreviations

IgM ANTI-HAV, HAV IgM.

Type

INDIVIDUAL TEST.

36 HRS

36 HOURS

Method

IMMUNOASSAY.

Temp

AMBIENT (8 HOURS), REFRIGERATED (7 DAYS), FROZEN (14 DAYS).

Setup

BATCHED.

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

N/A

Sample type

SERUM.

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER.

Sample volume

2 ML.

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; HEMOLYZED, LIPEMIC, ICTERIC SAMPLES.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT.

Clinical Utility

A POSITIVE RESULT IS CONSISTENT WITH CURRENT/ RECENT HEPATITIS A VIRUS (HAV) INFECTION. IgM IS THE FIRST ANTIBODY PRODUCED BY THE IMMUNE SYSTEM IN RESPONSE TO INFECTION.

Test Limitations/ Confounders

N/A