04 November 2018

Interpretation of Hepatitis B Serologic Test Results

  
HBsAg
negative
Susceptible
anti–HBc
negative
anti–HBs
negative

HBsAg
negative
Immune due to natural infection
anti–HBc
positive
anti–HBs
positive

HBsAg
negative
Immune due to Hepatitis B vaccination
anti–HBc
negative
anti–HBs
positive

HBsAg
positive
Acutely infected
anti–HBc
positive
IgM anti–HBc
positive
anti–HBs
negative

HBsAg
positive
Chronically infected
anti–HBc
positive
IgM anti–HBc
negative
anti–HBs
negative

HBsAg
negative

Interpretation unclear; four possibilities:
1. Resolved infection
2. False–positive anti–HBc, thus susceptible
3. “Low level” chronic infection
4. Resolving acute infection

anti–HBc
positive
anti–HBs
negative





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