TABLE 2.
Interpretations of available serologic test results for HBV
HBsAg | IgM anti-HBc | Total anti-HBc | Anti-HBs | Interpretation |
---|---|---|---|---|
+ | − | − | − | Early HBV infection before anti-HBc response. |
+ | + | + | − | Early HBV infection. Because IgM anti-HBc is positive, the onset is within 6 months. IgG antibody usually appears shortly after IgM; therefore, both are usually posi-tive when IgM is positive. |
− | + | + | − or + | Recent acute HBV infection (within 4–6 months) with resolution; i.e., HBsAg has already disappeared. Anti-HBs usually appears within a few weeks or months of HBsAg disappearance. |
+ | − | + | − | HBV infection, onset at least 6 months earlier because IgM anti-HBc has disappeared. Prob-able chronic HBV infection. |
− | − | − | + | Response to hepatitis B vaccine. No evidence of infection. |
− | − | + | + | Past HBV infection, recovered. |