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. 1999 Apr;12(2):351–366. doi: 10.1128/cmr.12.2.351

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.