Skip to main content
. 2017 Sep 21;5(4):394–403. doi: 10.14218/JCTH.2017.00027

Table 2. Interpretation and clinical significance of hepatitis B serologies.

HBsAg Anti-HBc Anti-HBs IgM anti-HBc Interpretation
Negative Negative Negative Susceptible
Negative Negative Positive, >10 mIU/mL Immune due to vaccination
Negative Positive Positive Immune due to natural infection
Positive Negative Negative Negative Early acute infection
Positive Positive Negative Positive Acutely infection
Positive Positive Negative Negative Chronic infection
Negative Positive Negative Either:
  1. Recovering from acute HBV infection

  2. Distantly immune: test not sensitive enough to detect a very low level of anti-HBs in serum

  3. Susceptible with a false positive anti-HBc

  4. Chronically infected with undetectable level of HBsAg present in serum