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. 2023 May 15;5(9):100793. doi: 10.1016/j.jhepr.2023.100793

Table 2.

Interpretation algorithm for HEV-A4 p239 and HEV-C1 p241 IgG enzymatic immunoassays.

Serum/plasma sample run in parallel in HEV-A4 p239 and HEV-C1 p241 IgG EIAs
HEV-A4 p239 EIA result (positive if OD ≥0.437) HEV-C1 p241 EIA result (positive if OD ≥0.864) Interpretation
Negative Negative Seronegative for hepatitis E
Positive Negative Exposure to HEV-A
Negative Positive Exposure to HEV-C1
Positive Positive Assess A/C ratio:
If ≥2.947, consistent with exposure to HEV-A. Additional HEV-C1 exposure possible.
If <2.947, consistent with exposure to HEV-C1. Additional HEV-A exposure possible.

EIA, enzymatic immunoassay; HEV-A, Paslahepevirus balayani; HEV-C1, Rocahepevirus ratti; OD, optical density.

A/C ratio = ODHEV-A4 p239/ODHEV-C1 p241.