Table 3.
Proposed diagnostic criteria for acute HCV infection
| Major criteria | Seroconversion of anti-HCV antibody from negative to positive reaction |
| Presence of serum HCV RNA from a previously negative reaction of anti-HCV antibody | |
| Ancillary criteria | Markedly-elevated serum ALT levels (>5–20 times of the upper limit of normal) |
| Known or suspected exposure to HCV during the past 6 months | |
| Clinical symptoms of acute illness, including fever, nausea, vomiting, diarrhea, abdominal pain, fatigue, dark urine, and jaundice | |
| Sudden onset of liver disease | |
| Excluding other causes of acute liver injuries |
HCV, hepatitis C virus; RNA, ribonucleic acid; ALT, alanine aminotransferase.