Hepatitis B Test: Serologic Test Result Interpretation: Clement Awuah Biomedical Lab Scientist

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 20

HEPATITIS B TEST: SEROLOGIC TEST RESULT

INTERPRETATION

Clement Awuah
Biomedical Lab Scientist

03/06/2021 1
Outlines
• Introduction
• Mode of transmission
• Geographical distribution
• Statistics
• Natural history
• Laboratory Diagnosis and interpretation
• Complication
• Prevention
03/06/2021 2
Hepatitis
 Inflammation of the liver

Causes
 Viral ( Most common)
 Drugs(alcohol)
 Chemicals
 Autoimmune diseases
 Genetic disorders
 Metabolic abnormalities

03/06/2021 3
VIRAL HEPATITIS
• TYPES OF VIRAL HEPATITIS
–A
–B
–C
–D
–E

03/06/2021 4
Hepatitis B Virus (HBV)
• What is it?

• It’s a DNA virus that attacks the liver causing both acute and
chronic liver diseases.

• Silent Epidemic

03/06/2021 5
03/06/2021 6
At-Risk Population
• Health care and public safety workers
• Household contact of chronically infected
• Patients undergoing hemodialysis
• Transplant recipients
• MSM

03/06/2021 7
03/06/2021 8
 
Hepatitis B in Pregnancy, KPC, 2020 (n = 352)

80.00
72.73
70.00

60.00

50.00
Percentage

40.00 NUMBER TESTED


TESTED +VE
29.41
30.00 PROFILE TEST

20.00
10.71 10.51
10.00 7.95 8.52 6.64
3.33 2.70
0.28
0.00
15-17 18-20 21-35 36-49 50-55
03/06/2021 Age Group 9
Hepatitis B Replication

03/06/2021 10
Serology
Antigens and Antibodies

Antibodies Test for antibody

Antibodies can bind Test for antigen


to specific antigen

Circulating protein
03/06/2021 11
Structure of Hepatitis B

03/06/2021 12
Hepatitis B Serology

03/06/2021 13
HEPATITIS ‘B’ SEROLOGICAL TEST INTERPRETATION

HBsAg HBsAb HBeAg HBeAb HBcAb INTERPRETATION


(Surface (Surface (Envelope (Envelope (Core
Antigen) Antibody) Antigen) Antibody) Antibody)
KEY: + = POSITIVE & - = NEGATIVE

_ _ _ _ _ Susceptible
Resolving acute infection or Resolved infection
_ _ _ _ +
+ _ _ _ _ Exposure to hepatitis B virus

_ + _ _ _ Immune due to Hepatitis B vaccination

+ _ _ _ + Chronic hepatitis B Infection or Carrier State

+ _ + _ + Chronic hepatitis B infection with active replicating virus

Immune due to natural infection/Exposure to hepatitis B


_ + _ _ + virus with recovery or Immunity

+ _ _ + + Chronic Hepatitis B infection with non-replicating virus

+ _ + + + Chronic Hepatitis B Infection with active replicating virus

03/06/2021
14
03/06/2021 15
03/06/2021 16
Hepatitis B Complications
• Hepatocellular carcinoma: it occurs most often in people with
chronic liver diseases, such as cirrhosis caused by hepatitis B or
hepatitis C infection.

03/06/2021 17
Prevention 1/2
• Hepatitis B Immunoglobulin - HBIG may be used to protect
persons who are exposed to hepatitis B within 48 hours.

03/06/2021 18
Prevention 2/2
Vaccination - highly
effective recombinant
vaccines (Since 1982)

03/06/2021 19
MORTICE GRATIAS

03/06/2021 20

You might also like